ATI RN
ATI Nurs 140 exam Maternal Newborn Questions
Extract:
A nurse is caring for a client who is in labor and has an external fetal monitor. The nurse observes late decelerations on the monitor strip.
Question 1 of 5
A nurse is caring for a client who is in labor and has an external fetal monitor. The nurse observes late decelerations on the monitor strip and interprets them as indicating which of the following?
Correct Answer: C
Rationale: Late decelerations indicate uteroplacental insufficiency, where reduced placental blood flow causes fetal hypoxia, shown by symmetrical heart rate decreases after contraction peaks.
Extract:
A nurse is caring for a term macrosomic newborn whose mother has poorly controlled type 2 diabetes. The newborn has respiratory distress syndrome.
Question 2 of 5
A nurse is caring for a term macrosomic newborn whose mother has poorly controlled type 2 diabetes. The newborn has respiratory distress syndrome. The nurse should be aware that the most likely cause of the respiratory distress is which of the following?
Correct Answer: A
Rationale: Hyperinsulinemia, caused by exposure to high maternal glucose levels, increases respiratory demand in the newborn, leading to respiratory distress syndrome.
Extract:
A nurse is caring for a client who is in labor and has an external fetal monitor. The nurse observes late decelerations on the monitor strip.
Question 3 of 5
A nurse is caring for a client who is in labor and has an external fetal monitor. The nurse observes late decelerations on the monitor strip and interprets them as indicating which of the following?
Correct Answer: C
Rationale: Late decelerations indicate uteroplacental insufficiency, where reduced placental blood flow causes fetal hypoxia, shown by symmetrical heart rate decreases after contraction peaks.
Extract:
Which blood pressure (BP) finding during the second trimester indicates a risk for pregnancy-induced hypertension? Baseline BP 140/85, current BP 129/80; Baseline BP 110/70, current BP 145/85; Baseline BP 120/80, current BP 126/85; Baseline BP 110/60, current BP 120/63.
Question 4 of 5
Which blood pressure (BP) finding during the second trimester indicates a risk for pregnancy-induced hypertension?
Correct Answer: B
Rationale: An increase in BP from baseline by 30 mm Hg systolic or 15 mm Hg diastolic indicates a risk for pregnancy-induced hypertension. A current BP of 145/85 mm Hg from a baseline of 110/70 mm Hg shows a significant elevation, suggesting a risk for complications.
Extract:
A nurse is caring for a client who is a primigravida, at term, and having contractions but is stating that she is 'not really sure if she is in labor or not.'
Question 5 of 5
A nurse is caring for a client who is a primigravida, at term, and having contractions but is stating that she is 'not really sure if she is in labor or not.' Which of the following should the nurse recognize as a sign of true labor?
Correct Answer: A
Rationale: As labor begins, the cervix starts to soften, shorten, and thin (efface). This process is often expressed in percentages. This is a definitive sign of true labor as it indicates cervical progression necessary for delivery.