ATI RN
ATI Nurs 140 exam Maternal Newborn Questions
Extract:
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.
Question 1 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: D
Rationale: Placing the client in a lateral position is the priority action. This helps relieve the pressure of the gravid uterus on the inferior vena cava, improving venous return, cardiac output, and blood pressure, thereby enhancing placental blood flow and fetal oxygenation.
Extract:
A nurse is assessing a client who is pregnant for preeclampsia.
Question 2 of 5
A nurse is assessing a client who is pregnant for preeclampsia. Which of the following findings should indicate to the nurse that the client requires further evaluation for this disorder?
Correct Answer: B
Rationale: Elevated blood pressure is a hallmark of preeclampsia, requiring further evaluation to confirm the diagnosis and prevent complications like eclampsia or placental abruption.
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 preparing to measure the fundal height of a client who is at 22 weeks of gestation.
Question 4 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 in a provider's office is caring for a client who is at 34 weeks of gestation and at risk for placental abruption.
Question 5 of 5
A nurse in a provider's office is caring for a client who is at 34 weeks of gestation and at risk for placental abruption. The nurse should recognize that which of the following is the most common risk factor for abruption?
Correct Answer: B
Rationale: Hypertension is the most common risk factor for placental abruption, as it can damage uterine vessels, leading to bleeding and separation of the placenta from the uterine wall.