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. Complete the following sentence using the list of options. Sentence: The nurse should prioritize administering and monitoring for .
Correct Answer: A,B
Rationale: Magnesium sulfate prevents seizures in preeclampsia, and monitoring for toxicity ensures safety.
Extract:
Question 2 of 5
The nurse is aware that which of the following magnesium sulfate levels should be reported to the MD and is most likely to result in toxicity?
Correct Answer: B
Rationale: A magnesium sulfate level of 70 mEq/L is critically high, indicating toxicity risk.
Question 3 of 5
The nurse knows that a diagnosis for gestational diabetes can be determined with which lab values?
Correct Answer: D
Rationale: Elevated 3-hour glucose tolerance test values (e.g., 190 mg/dL) confirm gestational diabetes.
Question 4 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.
Extract:
Multiparous woman at 5 cm dilated, 50% effaced, 1+ station, with urge to have a bowel movement.
Question 5 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.