ATI RN
ATI NUR270A Maternity Exam Questions
Extract:
34-year-old female, gravida 4, para 3, at 34 weeks gestation with chronic hypertension, headache, visual disturbances, abdominal discomfort.
Question 1 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. Select the potential condition, actions to take and the parameters to monitor.
Correct Answer: B
Rationale: Preeclampsia is indicated by hypertension, proteinuria, and symptoms; monitor blood pressure and platelets, administer magnesium sulfate, and prepare for delivery.
Extract:
Client in prolonged labor with severe backache.
Question 2 of 5
A nurse on the labor and delivery unit is caring for a client who is having a difficult, prolonged labor with severe backache. Which of the following interventions should the nurse assist with?
Correct Answer: C
Rationale: Counterpressure to the sacrum relieves back pain, especially in occiput posterior positions.
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:
Newborn weighing 4300 grams receiving ampicillin.
Question 4 of 5
A newborn who weighs 4300 grams is receiving ampicillin 2mg/kg IV once per day. The vial reads 20mg/mL. How much will the nurse draw up in the syringe for one dose?
Correct Answer: A
Rationale: Calculation: 4300 g = 4.3 kg; 4.3 kg x 2 mg/kg = 8.6 mg; 8.6 mg / 20 mg/mL = 0.43 mL.
Extract:
Client in second trimester with new diagnosis of gestational diabetes.
Question 5 of 5
A nurse in a prenatal clinic is teaching a client who is in her second trimester and has a new diagnosis of gestational diabetes. Which of the following statements by the client indicates that more teaching is needed?
Correct Answer: D
Rationale: Glyburide is not first-line for gestational diabetes; insulin is preferred, indicating a need for further teaching.