ATI RN
ATI Maternity Exam 3 Questions
Extract:
A client who is in the first stage of labor and is using pattern-paced breathing
Question 1 of 5
A nurse is caring for a client who is in the first stage of labor and is using pattern-paced breathing. The client says she feels lightheaded, and her fingers are tingling. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Lightheadedness and tingling indicate hyperventilation; breathing into a paper bag corrects respiratory alkalosis. Oxygen, chin tucking, or faster breathing worsen the issue.
Extract:
A client at 15 weeks of gestation scheduled for an amniocentesis
Question 2 of 5
A nurse in a prenatal clinic is instructing a client about an amniocentesis, which is scheduled at 15 weeks of gestation. Which of the following should be included in the teaching?
Correct Answer: D
Rationale: Amniocentesis requires sufficient amniotic fluid for safe sampling to diagnose genetic conditions. Heartbeat detection isn't a prerequisite, it doesn't assess lung maturity, and Rh immune globulin is for Rh-negative mothers.
Extract:
A woman at 32 weeks' gestation with a fundal height measurement of 26 centimeters.
Question 3 of 5
A woman is at 32 weeks' gestation. Her fundal height measurement at this clinic appointment is 26 centimeters. After reviewing her ultrasound results, the health care provider asks the nurse to schedule the client for a series of ultrasounds to be done every 2 weeks. The nurse should ensure that the client understands that the main purpose for this is to:
Correct Answer: D
Rationale: A smaller-than-expected fundal height suggests possible growth restriction, necessitating ultrasounds to monitor fetal growth, unlike the other options which are less relevant.
Extract:
A client who has rubella at the time of delivery
Question 4 of 5
A nurse is caring for a client who has rubella at the time of delivery and asks why her newborn is being placed in isolation. Which of the following responses by the nurse is appropriate?
Correct Answer: D
Rationale: Newborns of mothers with rubella may shed the virus, requiring isolation to prevent spread. Encephalitis, immune suppression, and TORCH categorization are not the primary reasons.
Extract:
Clients who are pregnant
Question 5 of 5
A nurse in a clinic is reviewing the medical records of a group of clients who are pregnant. The nurse should anticipate the provider will order a maternal serum alpha-fetoprotein (MSAFP) screening for which of the following clients?
Correct Answer: A
Rationale: MSAFP screening is routine for all pregnant women at 15-20 weeks to detect neural tube defects and chromosomal issues, regardless of specific histories.