ATI RN
ATI Nurs 140 exam Maternal Newborn Questions
Extract:
A nurse is caring for a client who is at 34 weeks of gestation. The client has a medical history of gestational diabetes, preeclampsia with previous pregnancy, and chronic hypertension for 5 years. The client's vital signs are: BP: 170/104 mm Hg, Pulse: 89/min, Respirations: 20/min, Temperature: 98.8°F (37.1°C) Oral, Oxygen saturation: 97% room air.
Question 1 of 5
A nurse is caring for a client who is at 34 weeks of gestation. The client has a medical history of gestational diabetes, preeclampsia with previous pregnancy, and chronic hypertension for 5 years. The client's vital signs are: BP: 170/104 mm Hg, Pulse: 89/min, Respirations: 20/min, Temperature: 98.8°F (37.1°C) Oral, Oxygen saturation: 97% room air. What are the two most important nursing interventions for this client?
Correct Answer: A, B
Rationale: Monitoring fetal heart rate and movement assesses fetal well-being, critical due to high-risk conditions. Administering magnesium sulfate prevents seizures in severe preeclampsia, addressing the client's high blood pressure and history.
Extract:
The nurse caring for the pregnant patient understands that the hormone essential for maintaining pregnancy is:
Question 2 of 5
The nurse caring for the pregnant patient understands that the hormone essential for maintaining pregnancy is:
Correct Answer: D
Rationale: Progesterone is essential for maintaining pregnancy by preventing uterine contractions and immune responses against the fetus, produced by the corpus luteum and later the placenta.
Extract:
A nurse is caring for a client who is in labor and has an epidural anesthesia block. The client's blood pressure is 80/40 mm Hg and the fetal heart rate is 140/min.
Question 3 of 5
A nurse is caring for a client who is in labor and has an epidural anesthesia block. The client's blood pressure is 80/40 mm Hg and the fetal heart rate is 140/min. Which of the following is the priority nursing action?
Correct Answer: D
Rationale: Placing the client in a lateral position is the priority action. This helps relieve the pressure of the gravid uterus on the inferior vena cava, improving venous return, cardiac output, and blood pressure, thereby enhancing placental blood flow and fetal oxygenation.
Extract:
A nurse is preparing to measure the fundal height of a client who is at 22 weeks of gestation.
Question 4 of 5
A nurse is preparing to measure the fundal height of a client who is at 22 weeks of gestation. At which location should the nurse expect to palpate the fundus?
Correct Answer: D
Rationale: At 22 weeks of gestation, the fundal height should be around 22 cm, which corresponds to slightly above the umbilicus, as fundal height typically matches gestational age in centimeters.
Extract:
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.'
Question 5 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: A
Rationale: As labor begins, the cervix starts to soften, shorten, and thin (efface). This process is often expressed in percentages. This is a definitive sign of true labor as it indicates cervical progression necessary for delivery.