ATI RN
ATI Maternity Exam 3 Questions
Extract:
A client who is at 40 weeks gestation and is lying supine while in active labor
Question 1 of 5
A nurse is caring for a client who is at 40 weeks gestation and is lying supine while in active labor. The client has 6 cm of cervical dilation and 100% cervical effacement. The nurse obtains the client's blood pressure reading as 82/52 mm Hg. Which of the following nursing interventions should the nurse perform?
Correct Answer: C
Rationale: Supine hypotension from vena cava compression causes low blood pressure; turning to the side restores blood flow. Upright positioning, cesarean, or delivery prep are inappropriate.
Extract:
A client who is at 36 weeks of gestation and scheduled for an amniocentesis
Question 2 of 5
A nurse in a provider's office is caring for a client who is at 36 weeks of gestation and scheduled for an amniocentesis. The client asks why she is having an ultrasound prior to the procedure. Which of the following is an appropriate response by the nurse?
Correct Answer: B
Rationale: Ultrasound identifies placenta and fetus location to guide safe amniocentesis needle insertion. It's not primarily for multiple fetuses, spina bifida screening, or fetal age estimation.
Extract:
A woman being treated for preterm labor with magnesium sulfate.
Question 3 of 5
A woman is being treated for preterm labor with magnesium sulfate. Which finding by the nurse indicates magnesium sulfate toxicity?
Correct Answer: D
Rationale: Absent patellar reflexes signal magnesium toxicity, risking neuromuscular depression, unlike normal respiratory rate, flushing, or fetal heart rate.
Extract:
A woman with a history of crack cocaine use admitted to the Labor and Birthing Unit with fetal bradycardia, acute abdominal pain, and dark red vaginal bleeding.
Question 4 of 5
A woman with a history of crack cocaine use is admitted to the Labor and Birthing Unit. While caring for the patient, the nurse notes a sudden onset of fetal bradycardia. The patient also complains of acute abdominal pain that is continuous and she has dark red vaginal bleeding. Which of the following would the nurse suspect?
Correct Answer: B
Rationale: These symptoms suggest placental abruption, exacerbated by cocaine use, causing fetal distress and maternal hemorrhage, unlike the other conditions which present differently.
Extract:
A client in labor who has had epidural anesthesia for pain relief
Question 5 of 5
A nurse is assessing a client in labor who has had epidural anesthesia for pain relief. Which of the following findings should the nurse identify as a complication from the epidural block?
Correct Answer: C
Rationale: Hypotension is a common epidural complication due to vasodilation. Vomiting, tachycardia, and respiratory depression are less typical.