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 are the priority nursing actions for this client? Select all that apply.
Correct Answer: A,B,E
Rationale: Fetal monitoring, magnesium sulfate for neuroprotection, and monitoring for chorioamnionitis address preterm rupture risks.
Extract:
Client at 25 weeks gestation in preterm labor with pre-eclampsia, receiving Nifedipine and magnesium sulfate.
Question 2 of 5
The client at 25 weeks gestation in preterm labor has developed pre-eclampsia. After receiving Nifedipine to stop her contractions, she is started on magnesium sulfate to control her pre-eclampsia. When assessing the client, which findings by the nurse indicate that the client is experiencing an adverse effect from the magnesium sulfate? (Select all that apply).
Correct Answer: A,F,G
Rationale: Respiratory depression, confusion, and oliguria are signs of magnesium sulfate toxicity.
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:
Multiparous woman at 5 cm dilated, 50% effaced, 1+ station, with urge to have a bowel movement.
Question 4 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:
Question 5 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.