ATI RN
ATI Nurs 140 exam Maternal Newborn Questions
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 1 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.
Extract:
A nurse is assessing a client who is receiving magnesium sulfate to treat pre-eclampsia.
Question 2 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 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 in labor and delivery is caring for a client. Following delivery of the placenta, the nurse examines the umbilical cord.
Question 4 of 5
A nurse in labor and delivery is caring for a client. Following delivery of the placenta, the nurse examines the umbilical cord. Which of the following vessels should the nurse expect to observe in the umbilical cord?
Correct Answer: D
Rationale: Two arteries and one vein is the normal configuration of the umbilical cord, with the arteries carrying deoxygenated blood from the fetus to the placenta and the vein carrying oxygenated blood to the fetus.
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.