ATI RN
ATI Maternity Exam 3 Questions
Extract:
A client at the first prenatal visit who has a BMI of 26.5
Question 1 of 5
A nurse is caring for a client at the first prenatal visit who has a BMI of 26.5. The client asks how much weight she should gain during pregnancy. Which of the following responses should the nurse make?
Correct Answer: C
Rationale: For a BMI of 26.5 (overweight), 15-25 pounds is recommended. One pound per week is too vague, 11-20 pounds is insufficient, and 25-35 pounds is for normal BMI.
Extract:
A client who is gravida 3, para 2, and is in active labor
Question 2 of 5
A nurse is caring for a client who is gravida 3, para 2, and is in active labor. The fetal head is at 3+ station after a vaginal examination. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: A 3+ station indicates imminent delivery, so observing for crowning prepares for birth. Nuchal cord checks, oxytocin, or fundal pressure are inappropriate at this stage.
Extract:
A client during a nonstress test (NST)
Question 3 of 5
A nurse is caring for a client during a nonstress test (NST). At the end of a 30-min period of observation, the nurse notes the following findings: The fetal heart rate baseline is 120/min with minimal variability and no accelerations. There are two decelerations of 15/min in the fetal heart rate during a period of fetal movement, each lasting 20 seconds. Which of the following interpretations of these findings should the nurse make?
Correct Answer: D
Rationale: No accelerations and minimal variability indicate a nonreactive NST, suggesting potential fetal compromise needing further evaluation. Reactive tests require accelerations; negative/positive aren't NST terms.
Extract:
A client who is at 12 weeks gestation
Question 4 of 5
A nurse in a prenatal clinic is caring for a client who is at 12 weeks gestation. The client asks about the cause of her heartburn. Which of the following responses should the nurse make?
Correct Answer: D
Rationale: Progesterone relaxes the cardiac sphincter and slows gastric emptying, causing heartburn. Bile retention, estrogen, and uterine pressure are not primary causes.
Extract:
A newborn at delivery with thick meconium in the amniotic fluid.
Question 5 of 5
During an observational experience in labor and delivery, the student nurse recognizes that thick meconium is present in the amniotic fluid. Upon delivery of the newborn, the student nurse understands that there are signs that indicate that the newborn will need resuscitation. These signs are:
Correct Answer: A
Rationale: Central cyanosis and poor tone indicate hypoxia requiring resuscitation, unlike normal or benign signs like acrocyanosis or crying in the other options.