ATI RN
ATI Maternity Exam 3 Questions
Extract:
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: A
Rationale: Left lateral positioning improves uteroplacental blood flow to address late decelerations from insufficiency. Oxygen, scalp electrodes, and IV fluids are secondary steps.
Extract:
A client who is in labor and has an epidural anesthesia block
Question 2 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: B
Rationale: Lateral positioning corrects epidural-induced hypotension by improving blood flow. Leg elevation, monitoring, and notification are secondary to immediate repositioning.
Extract:
A woman who is contemplating pregnancy
Question 3 of 5
A nurse is instructing a woman who is contemplating pregnancy about nutritional needs. To reduce the risk of giving birth to a newborn who has a neural tube defect, which of the following information should the nurse include in the teaching?
Correct Answer: C
Rationale: Folic acid supplementation before and during early pregnancy significantly reduces neural tube defect risk. Iron supports overall health, alcohol avoidance prevents other issues, and aspartame isn't linked to neural tube defects.
Extract:
A client who is in the third trimester of pregnancy
Question 4 of 5
A nurse is assessing a client who is in the third trimester of pregnancy. The nurse should recognize which of the following findings as an expected physiologic change during pregnancy?
Correct Answer: C
Rationale: Lordosis, an increased lower back curve, accommodates the growing uterus. Neck flexion, increased abdominal tone, and decreased joint mobility are not typical.
Extract:
A laboring client given narcotic analgesia at 10:00 a.m. with delivery at 10:35 a.m.
Question 5 of 5
Narcotic analgesia is administered to a laboring client at 10:00 a.m. The infant is delivered at 10:35 A.M. The nurse would anticipate that the narcotic analgesia could:
Correct Answer: C
Rationale: Narcotics given close to delivery can cross the placenta, causing neonatal respiratory depression due to limited clearance time, unlike the other incorrect effects.