ATI RN
ATI OB Maternal Newborn Nurs 4650 Questions
Extract:
Client at 30 weeks of gestation in preterm labor
Question 1 of 5
A nurse is admitting a client who is at 30 weeks of gestation and is in preterm labor. The client has a new prescription for betamethasone and asks the nurse about the purpose of this medication. The nurse should provide which of the following explanations?
Correct Answer: D
Rationale: Betamethasone accelerates fetal lung maturity, reducing the risk of respiratory distress syndrome in preterm infants.
Extract:
Client at 10 weeks of gestation with abdominal pain and moderate vaginal discharge, tentative diagnosis of inevitable abortion
Question 2 of 5
A nurse is planning care for a client who is at 10 weeks of gestation and reports abdominal pain and moderate vaginal discharge. The tentative diagnosis is inevitable abortion. Which of the following nursing interventions should be included in the plan of care?
Correct Answer: A
Rationale: Bed rest reduces complications and provides comfort during an inevitable abortion.
Extract:
Client at 40 weeks of gestation in labor
Question 3 of 5
A nurse is observing the electronic fetal heart rate monitor tracing for a client who is at 40 weeks of gestation and is in labor. The nurse should suspect a problem with the umbilical cord when she observes which of the following patterns?
Correct Answer: C
Rationale: Variable decelerations indicate potential umbilical cord compression, requiring immediate intervention to prevent fetal hypoxia.
Extract:
Client at 28 weeks of gestation with history of one elective abortion at 9 weeks, twins at 36 weeks, and spontaneous abortion at 15 weeks
Question 4 of 5
A nurse in a prenatal clinic is reviewing the health record of a client who is at 28 weeks of gestation. The history includes one pregnancy terminated by elective abortion at 9 weeks: the birth of twins at 36 weeks and a spontaneous abortion at 15 weeks. According to the GTPAL system, which of the following describes the client's pregnancy history?
Correct Answer: C
Rationale: GTPAL: 4 pregnancies (G), 0 term births (T), 1 preterm birth (P, twins at 36 weeks), 2 abortions (
A), 2 living children (L) accurately reflects the history.
Extract:
Client in labor with epidural anesthesia
Question 5 of 5
A nurse is assessing a client in labor who has had epidural anesthesia for pain relief. Which of the following findings should the nurse identify as a complication from the epidural block?
Correct Answer: A
Rationale: Hypotension is a common epidural complication due to sympathetic nerve blockade, requiring prompt intervention.