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. What is the most appropriate action the nurse should take next?
Correct Answer: D
Rationale: Corticosteroids enhance fetal lung maturity at 34 weeks, critical for preterm delivery risk.
Extract:
Multiparous woman at 5 cm dilated, 50% effaced, 1+ station, with urge to have a bowel movement.
Question 2 of 5
The nurse is in the process of admitting a multiparous woman to labor and delivery from the triage area. One hour ago her vaginal exam was 5 cm dilated, 50% effaced, 1+ station. While completing your review of her prenatal record and completing the admission Questionnaire, she tells you she has an urge to have a bowel movement. The priority nursing intervention is to:
Correct Answer: D
Rationale: The urge to have a bowel movement suggests imminent delivery, requiring a vaginal exam to assess labor progress.
Extract:
3800 gram newborn with meconium aspiration.
Question 3 of 5
A 3800 gram newborn was admitted to the neonatal intensive care unit at 39 weeks with meconium aspiration. Metoclopramide 0.1 mg/kg every 12 hours was started. On hand is Metoclopramide 0.5 mg/ml. What is the appropriate dose the RN will administer in ml in 12 hours?
Correct Answer: A
Rationale: Calculation: 3800 g = 3.8 kg; 3.8 kg x 0.1 mg/kg = 0.38 mg; 0.38 mg / 0.5 mg/mL = 0.76 mL.
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:
Question 5 of 5
The RN interprets the following external fetal monitoring strip as:
Correct Answer: C
Rationale: Umbilical cord prolapse is indicated by sudden severe variable decelerations, requiring urgent intervention to prevent fetal hypoxia.