ATI RN
ATI Maternity Exam 3 Questions
Extract:
A client during a nonstress test (NST)
Question 1 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 in her seventh month of pregnancy feeling dizzy when lying flat.
Question 2 of 5
In a client's seventh month of pregnancy, she reports feeling 'dizzy, like I'm going to pass out, when I lie down flat on my back'. The nurse explains that this is due to:
Correct Answer: B
Rationale: Supine hypotensive syndrome from uterine compression of major vessels causes dizziness, unlike anemia, diaphragmatic pressure, or blood volume changes.
Extract:
Counseling a new mother about breast milk immunologic properties.
Question 3 of 5
An nurse is counseling a new mother about the immunologic properties of breast milk. The nurse emphasizes that breast milk is the main source of which specific immunoglobulin?
Correct Answer: C
Rationale: IgA in breast milk, especially colostrum, protects the infant's gut mucosa, unlike IgG, IgE, or IgM which have lesser roles.
Extract:
A client who is at 23 weeks of gestation
Question 4 of 5
A nurse is teaching a client who is at 23 weeks of gestation and will return to the facility in 2 days for an amniocentesis. Which of the following instructions should the nurse give the client?
Correct Answer: B
Rationale: Emptying the bladder before amniocentesis improves comfort and safety. Bowel prep, fasting, and washing the abdomen are not required.
Extract:
A client who has a positive pregnancy test
Question 5 of 5
A nurse is caring for a client who has a positive pregnancy test. The nurse is teaching the client about common discomforts in the first trimester of pregnancy as well as warning signs of potential danger. The nurse should instruct the client to call the clinic if she experiences which of the following manifestations?
Correct Answer: B
Rationale: Painful leg tenderness suggests deep vein thrombosis, a serious condition requiring immediate attention. Leukorrhea, nausea, and urinary frequency are common and not urgent.