ATI RN
ATI NUR270A Maternity Exam Questions
Extract:
34-year-old female, gravida 2, para 1, at 34 weeks gestation with gestational diabetes, clear fluid leakage, mild cramping.
Question 1 of 5
A nurse is caring for a 34-year-old female client who is at 34 weeks of gestation in the antepartum unit. Select a potential condition, parameters to monitor and actions to take.
Correct Answer: A
Rationale: PPROM is indicated by fluid leakage and confirmed by ferning; monitor infection signs and blood pressure, administer antibiotics, and educate on kick counts.
Extract:
2-day-old septic preterm infant weighing 2800 grams.
Question 2 of 5
A neonatologist prescribes gentamicin for a 2-day-old, septic preterm infant who weighs 2800 grams. The dosage of gentamicin for babies under 1 week of age is 2.5 mg/kg every 24 hours. The nurse calculates the safe daily dosage of this medication as?
Correct Answer: A
Rationale: Calculation: 2800 g = 2.8 kg; 2.8 kg x 2.5 mg/kg = 7 mg daily.
Extract:
34-year-old female, gravida 4, para 3, at 34 weeks gestation with chronic hypertension, headache, visual disturbances, abdominal discomfort.
Question 3 of 5
A nurse is caring for a 34-year-old female client who is at 34 weeks of gestation in the labor and delivery unit. What are the priority nursing interventions for this client? Select all that apply.
Correct Answer: A,B,C,E
Rationale: Antihypertensives, fetal monitoring, magnesium toxicity monitoring, and abruption assessment address preeclampsia risks.
Extract:
Client in premature labor receiving terbutaline.
Question 4 of 5
A nurse is caring for a client who is in premature labor and is receiving terbutaline. The nurse should monitor the client for which of the following adverse effects that should be reported to the provider?
Correct Answer: A
Rationale: Dyspnea indicates potential respiratory complications from terbutaline, requiring immediate reporting.
Extract:
Client gravida 2, para 1, at 4-5 cm dilation requesting pain medication.
Question 5 of 5
The nurse is caring for a client that is Gravida 2, Para 1 admitted at 4-5 cm cervical dilation and is requesting pain medication. Which of the following is the most appropriate method of pain management at this time:
Correct Answer: D
Rationale: Epidural analgesia provides effective, continuous pain relief during active labor.