ATI RN
ATI Nurs 140 exam Maternal Newborn Questions
Extract:
A nurse is caring for a client who is at 39 weeks of gestation and is in active labor. The nurse locates the fetal heart tones above the client's umbilicus at midline.
Question 1 of 5
A nurse is caring for a client who is at 39 weeks of gestation and is in active labor. The nurse locates the fetal heart tones above the client's umbilicus at midline. The nurse should suspect that the fetus is in which of the following positions?
Correct Answer: A
Rationale: A frank breech position, where the fetus's buttocks present at the cervix with legs extended upward, would result in fetal heart tones located above the umbilicus at midline, as observed.
Extract:
A nurse is leading a discussion about contraception with a group of 14-year-old clients. After the presentation, a client asks the nurse which method would be best for her to use.
Question 2 of 5
A nurse is leading a discussion about contraception with a group of 14-year-old clients. After the presentation, a client asks the nurse which method would be best for her to use. Which of the following responses should the nurse make?
Correct Answer: A
Rationale: This response emphasizes the importance of a healthcare provider's role in determining the best contraceptive method after a physical examination, respecting the client's privacy and autonomy.
Extract:
A nurse in an antepartum unit is triaging clients.
Question 3 of 5
A nurse in an antepartum unit is triaging clients. Which of the following clients should the nurse see first?
Correct Answer: B
Rationale: A client at 28 weeks of gestation with painless vaginal bleeding is the most urgent case, as this could indicate placenta previa, which can cause severe hemorrhage and fetal distress, requiring immediate attention.
Extract:
The patient has an area over the sacrum that is reddened around the edges with a blackened area in the center.
Question 4 of 5
The patient has an area over the sacrum that is reddened around the edges with a blackened area in the center. How would you document this wound?
Correct Answer: A
Rationale: An unstageable pressure ulcer is documented due to the presence of eschar (blackened area) in the wound bed, indicating full-thickness tissue loss that cannot be staged until the eschar is removed.
Extract:
A nurse midwife is examining a client who is primigravida at 42 weeks of gestation and states that she believes she is in labor.
Question 5 of 5
A nurse midwife is examining a client who is primigravida at 42 weeks of gestation and states that she believes she is in labor. Which of the following findings confirm to the nurse that the client is in labor?
Correct Answer: B
Rationale: Cervical dilation is a definitive sign of labor, indicating the cervix is opening and thinning to allow fetal passage, measured in centimeters from 0 to 10.