ATI RN
ATI OB Maternal Newborn Nurs 4650 Questions
Extract:
Client who is primigravida, at term, having contractions
Question 1 of 5
A nurse is caring for a client who is a primigravida, at term, and having contractions but is stating that she is 'not really sure if she is in labor or not.' Which of the following should the nurse recognize as a sign of true labor?
Correct Answer: C
Rationale: Progressive cervical effacement and dilation confirm true labor, distinguishing it from false labor.
Extract:
Client at 30 weeks of gestation in preterm labor
Question 2 of 5
A nurse is admitting a client who is at 30 weeks of gestation and is in preterm labor. The client has a new prescription for betamethasone and asks the nurse about the purpose of this medication. The nurse should provide which of the following explanations?
Correct Answer: D
Rationale: Betamethasone accelerates fetal lung maturity, reducing the risk of respiratory distress syndrome in preterm infants.
Extract:
Antepartum client with negative rubella titer
Question 3 of 5
A nurse is caring for an antepartum client whose laboratory findings indicate a negative rubella titer. Which of the following indicates the correct interpretation of this data?
Correct Answer: B
Rationale: A negative rubella titer indicates no immunity, requiring post-delivery immunization to protect future pregnancies.
Extract:
Client at 36 weeks of gestation with suspected placenta previa
Question 4 of 5
A nurse is caring for a client who is at 36 weeks of gestation and who has a suspected placenta previa. Which of the following findings support this diagnosis?
Correct Answer: D
Rationale: Painless red vaginal bleeding is a classic sign of placenta previa, caused by placental tearing as the cervix dilates.
Extract:
Client undergoing an amniotomy
Question 5 of 5
A nurse is caring for a client who is to undergo an amniotomy. Which of the following is the priority nursing action following this procedure?
Correct Answer: B
Rationale: Obtaining a 30-minute EFM strip before amniotomy establishes a baseline fetal heart rate, identifying potential distress.