ATI RN
ATI Maternity Exam 3 Questions
Extract:
A client who is a primigravida, at term, and having contractions
Question 1 of 5
A nurse is caring for a client who is a primigravida, at term, and having contractions. The client states that she is 'not really sure if she is in labor or not.' Which of the following should the nurse recognize as the most reliable sign of true labor?
Correct Answer: B
Rationale: Progressive cervical effacement and dilation confirm true labor. Engagement, membrane rupture, and irregular contractions are less reliable indicators.
Extract:
A client who delivered a healthy term newborn via cesarean birth
Question 2 of 5
A nurse is caring for a client who delivered a healthy term newborn via cesarean birth. The client asks the nurse, 'Is there a chance that I could deliver my next baby without having a cesarean section?' Which of the following responses should the nurse provide?
Correct Answer: D
Rationale: The incision type, like low transverse, determines VBAC eligibility. Repeat cesareans aren't always safer, deferring entirely to the doctor avoids education, and dismissing concerns is unhelpful.
Extract:
A client who is at 15 weeks of gestation
Question 3 of 5
A nurse is caring for a client who is scheduled for a maternal serum alpha-fetoprotein test at 15 weeks of gestation. The nurse provides which of the following explanations about this test to the client?
Correct Answer: D
Rationale: The maternal serum alpha-fetoprotein test screens for neural tube defects and Down syndrome. It doesn't assess lung maturity, general wellbeing, or Rh incompatibility.
Extract:
A client at the first prenatal visit who has a BMI of 26.5
Question 4 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 whose laboratory findings indicate a negative rubella titer
Question 5 of 5
A nurse is caring for an antepartum client whose laboratory findings indicate a negative rubella titer. Which of the following is the correct interpretation of this data?
Correct Answer: C
Rationale: A negative rubella titer indicates non-immunity, requiring immunization post-delivery to protect future pregnancies. Vaccination during pregnancy is unsafe, it doesn't confirm no infection, and immunity is absent.