ATI RN
ATI NUR270A Maternity Exam Questions
Extract:
Client in active labor with persistent late decelerations.
Question 1 of 5
A nurse is caring for a client who is in active labor and notes persistent late decelerations on the fetal monitor. Which of the following are the priority nursing actions? (Select all that apply.)
Correct Answer: B,D,F
Rationale: Notifying the provider, repositioning to side-lying, and administering oxygen address fetal distress by improving oxygenation.
Extract:
34-year-old female, gravida 4, para 3, at 34 weeks gestation with chronic hypertension, headache, visual disturbances, abdominal discomfort.
Question 2 of 5
A nurse is caring for a 34-year-old female client who is at 34 weeks of gestation in the labor and delivery unit. Select the potential condition, actions to take and the parameters to monitor.
Correct Answer: B
Rationale: Preeclampsia is indicated by hypertension, proteinuria, and symptoms; monitor blood pressure and platelets, administer magnesium sulfate, and prepare for delivery.
Extract:
Client with type 1 diabetes mellitus seeking preconception counseling with high HgbA1c.
Question 3 of 5
A client with type 1 diabetes mellitus is seeking preconception counseling. She has a high glycosylated hemoglobin (HgbA1c). Before trying to become pregnant, she is strongly encouraged to stabilize her blood glucose to reduce the possibility of her baby developing which of the following?
Correct Answer: A
Rationale: High maternal glucose levels increase the risk of congenital heart defects in the fetus.
Extract:
34-year-old female, gravida 4, para 3, at 34 weeks gestation with chronic hypertension, headache, visual disturbances, abdominal discomfort.
Question 4 of 5
A nurse is caring for a 34-year-old female client who is at 34 weeks of gestation in the labor and delivery unit. Complete the following sentence using the list of options. Sentence: The nurse should prioritize administering and monitoring for .
Correct Answer: A,B
Rationale: Magnesium sulfate prevents seizures in preeclampsia, and monitoring for toxicity ensures safety.
Extract:
Client gravida 2, para 1, at 4-5 cm dilation requesting pain medication.
Question 5 of 5
The nurse is caring for a client that is Gravida 2, Para 1 admitted at 4-5 cm cervical dilation and is requesting pain medication. Which of the following is the most appropriate method of pain management at this time:
Correct Answer: D
Rationale: Epidural analgesia provides effective, continuous pain relief during active labor.