ATI RN
ATI Maternity Exam 3 Questions
Extract:
A client who is at 18 weeks of gestation
Question 1 of 5
A nurse is caring for a client who is at 18 weeks of gestation. The client tells the nurse that she felt fluttering movements in her abdomen 3 days ago. The nurse should interpret this finding as which of the following?
Correct Answer: A
Rationale: Fluttering at 18 weeks is quickening, the first felt fetal movements. Ballottement is an exam technique, chloasma is skin pigmentation, and lightening is late-pregnancy fetal descent.
Extract:
A client who is at 40 weeks of gestation and is in labor
Question 2 of 5
A nurse is observing the electronic fetal heart rate monitor tracing for a client who is at 40 weeks of gestation and is in labor. The nurse should suspect a problem with the umbilical cord when he observes which of the following patterns?
Correct Answer: A
Rationale: Variable decelerations indicate umbilical cord compression, reducing fetal blood flow. Late decelerations suggest uteroplacental insufficiency, accelerations are normal, and early decelerations relate to head compression.
Extract:
A client who is in the first stage of labor and is using pattern-paced breathing
Question 3 of 5
A nurse is caring for a client who is in the first stage of labor and is using pattern-paced breathing. The client says she feels lightheaded, and her fingers are tingling. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Lightheadedness and tingling indicate hyperventilation; breathing into a paper bag corrects respiratory alkalosis. Oxygen, chin tucking, or faster breathing worsen the issue.
Extract:
A client who smokes one pack of cigarettes per day at 6 weeks of gestation
Question 4 of 5
A nurse is completing a health history for a client who is at 6 weeks of gestation. The client informs the nurse that she smokes one pack of cigarettes per day. The nurse should advise the client that smoking places the client's newborn at risk for which of the following complications?
Correct Answer: D
Rationale: Smoking reduces placental blood flow, causing intrauterine growth restriction. It's not strongly linked to type 1 diabetes, hearing loss, or heart defects in this context.
Extract:
A woman who is contemplating pregnancy
Question 5 of 5
A nurse is instructing a woman who is contemplating pregnancy about nutritional needs. To reduce the risk of giving birth to a newborn who has a neural tube defect, which of the following information should the nurse include in the teaching?
Correct Answer: C
Rationale: Folic acid supplementation before and during early pregnancy significantly reduces neural tube defect risk. Iron supports overall health, alcohol avoidance prevents other issues, and aspartame isn't linked to neural tube defects.