ATI RN
ATI NUR270A Maternity Exam Questions
Extract:
34-year-old female, gravida 2, para 1, at 34 weeks gestation, Rh-negative, with fluid leakage and reduced fetal movement.
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. Complete the following sentence using the list of options. Sentence: The priority intervention for the client is to and .
Correct Answer: A,B
Rationale: Corticosteroids promote lung maturity, and antibiotics prevent infection in PPROM.
Extract:
Primigravida at 39 weeks pregnant with easier breathing, frequent urination, and ankle swelling.
Question 2 of 5
A primigravida calls the Labor & Delivery unit and tells the nurse that she is 39 weeks pregnant and that over the past few days, although her breathing has become easier, she now feels the urge to urinate more often and has more swelling in her ankles and feet. The nurse tells the client that she is experiencing what is commonly called:
Correct Answer: B
Rationale: Lightening occurs when the fetus descends into the pelvis, easing breathing but increasing bladder pressure and swelling.
Extract:
Client gravida 2, para 1, at 4-5 cm dilation requesting pain medication.
Question 3 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.
Extract:
Fetus with occiput facing left maternal spine, mother with back labor pain.
Question 4 of 5
Using Leopold's Maneuvers, the fetus is found to be with its occiput facing toward the left maternal spine. The mother is complaining of increased back labor pain. The nurse knows that the fetus is in which position?
Correct Answer: C
Rationale: Left occiput posterior position causes back labor pain due to the occiput pressing against the maternal spine.
Extract:
34-year-old female, gravida 4, para 3, at 34 weeks gestation with chronic hypertension, headache, visual disturbances, abdominal discomfort.
Question 5 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.