ATI RN
ATI Nurs 140 exam Maternal Newborn Questions
Extract:
A nurse is caring for a client who is in active labor and notes late decelerations in the FHR.
Question 1 of 5
A nurse is caring for a client who is in active labor and notes late decelerations in the FHR. Which of the following actions should the nurse take first?
Correct Answer: C
Rationale: Administering oxygen at 10 L/min via a nonrebreather mask is the first action to increase oxygen saturation and prevent fetal hypoxia caused by uteroplacental insufficiency indicated by late decelerations.
Extract:
A nurse is preparing to measure the fundal height of a client who is at 22 weeks of gestation.
Question 2 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 on the labor and delivery unit is caring for a client following a vaginal examination by the provider which is documented as: -1.
Question 3 of 5
A nurse on the labor and delivery unit is caring for a client following a vaginal examination by the provider which is documented as: -1. Which of the following interpretations of this finding should the nurse make?
Correct Answer: C
Rationale: A finding of -1 indicates the presenting part is 1 cm above the ischial spines, showing the fetus is descending but not yet engaged in the pelvis.
Extract:
A nurse is assessing a client who is receiving magnesium sulfate to treat pre-eclampsia.
Question 4 of 5
A nurse is assessing a client who is receiving magnesium sulfate to treat pre-eclampsia. Which of the following findings should the nurse report to the provider?
Correct Answer: D
Rationale: Urinary output of 40 mL in 2 hr is below the expected amount and indicates renal impairment, a potential sign of magnesium toxicity or worsening pre-eclampsia, which should be reported to the provider.
Extract:
A nurse is caring for a client who is in labor at 40 weeks of gestation and reports that she has saturated two perineal pads in the past 30 min. The nurse caring for her suspects placenta previa.
Question 5 of 5
A nurse is caring for a client who is in labor at 40 weeks of gestation and reports that she has saturated two perineal pads in the past 30 min. The nurse caring for her suspects placenta previa. Which of the following is an appropriate nursing action?
Correct Answer: D
Rationale: Preparation for cesarean birth is appropriate for suspected placenta previa, as it is the preferred delivery method to manage severe bleeding and prevent fetal distress.