ATI RN
ATI Maternal Newborn Final Exam moitoso Questions
Extract:
31-year-old, Gravida 4 Para 3, 31 weeks gestation, cramping, low back pain, 2 cm dilation, 80% effacement, -1 station, contractions every 2-4 min, FHT 155/min.
Question 1 of 5
A nurse in the labor and delivery unit is caring for a 31-year-old pregnant female client who is at 31 weeks of gestation. The nurse is contacting the primary health care provider regarding the client's status. Which of the following interventions should the nurse anticipate?
Correct Answer: A,B,C
Rationale: Betamethasone, magnesium sulfate, and lateral positioning are anticipated to enhance fetal lung maturity, provide neuroprotection, and improve uteroplacental flow in preterm labor.
Extract:
Client in labor with external fetal monitoring, FHR slows at contraction start, nadir at contraction peak, returns to baseline at contraction end.
Question 2 of 5
A nurse in the labor and delivery unit is caring for a client who is undergoing external fetal monitoring. The nurse observes that the fetal heart rate begins to slow at the start of a contraction and the nadir is at the same time as the peak of the contraction. The FHR returns to the FHR baseline at the same time that the contraction ends. The nurse should document this finding as which of the following?
Correct Answer: C
Rationale: Early decelerations mirror contractions, with nadir at the peak, typically benign and due to fetal head compression.
Extract:
Client 4 hours postpartum following a vaginal delivery, with brisk patellar deep tendon reflexes, moderate lochia, fundus at umbilicus, approximated episiotomy edges.
Question 3 of 5
A nurse is assessing a client who is 4 hours postpartum following a vaginal delivery. Which of the following findings should the nurse identify as the priority?
Correct Answer: A
Rationale: Brisk patellar deep tendon reflexes may indicate central nervous system irritability, potentially linked to preeclampsia, requiring priority assessment.
Extract:
36-year-old female, vaginal bleeding, cramping, LMP 5 weeks ago, severe pain 8/10, moderate bleeding with clots, no trauma, positive hCG, intrauterine pregnancy via ultrasound, mild abdominal tenderness, closed cervical os.
Question 4 of 5
A nurse is caring for a 36-year-old female client in the emergency unit. Upon reviewing the client's medical record, the nurse determines that the client is at risk for developing which of the following complications? The nurse should recognize that the client is most likely experiencing a ___ and is at risk for developing ___ if not treated quickly.
Correct Answer: A
Rationale: The closed cervical os, bleeding, and cramping suggest a threatened miscarriage, with risk of hemorrhagic shock if bleeding continues untreated.
Extract:
Client being educated on breastfeeding positions.
Question 5 of 5
A nurse is educating a client on breastfeeding positions. Which of the following should the nurse discuss?
Correct Answer: B
Rationale: The cradle position is effective for breastfeeding, supporting proper latching and comfort.