ATI RN
ATI Maternity Exam 3 Questions
Extract:
A client who has rubella at the time of delivery
Question 1 of 5
A nurse is caring for a client who has rubella at the time of delivery and asks why her newborn is being placed in isolation. Which of the following responses by the nurse is appropriate?
Correct Answer: D
Rationale: Newborns of mothers with rubella may shed the virus, requiring isolation to prevent spread. Encephalitis, immune suppression, and TORCH categorization are not the primary reasons.
Extract:
A client 4 months pregnant at her initial prenatal visit.
Question 2 of 5
A client who is 4 months pregnant is at the prenatal clinic for her initial visit. Her history reveals she has a 7-year-old daughter who was born at 34 weeks gestation, a 2-year old son born at 39 weeks gestation, and a spontaneous abortion 1 year ago at 6 weeks gestation. Using the GTPAL method, the nurse would document her obstetric history as:
Correct Answer: C
Rationale: GTPAL (4 pregnancies, 1 term, 1 preterm, 1 abortion, 2 living children) accurately reflects her history, unlike the incorrect calculations in other options.
Extract:
A client who is at 12 weeks gestation
Question 3 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 client who is in active labor and notes late decelerations in the FHR
Question 4 of 5
A nurse is caring for a client who is in active labor and notes late decelerations in the FHR. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: Left lateral positioning improves uteroplacental blood flow to address late decelerations from insufficiency. Oxygen, scalp electrodes, and IV fluids are secondary steps.
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.