Questions 119

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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 who is at 30 weeks of gestation


Question 2 of 5

A nurse is providing teaching to a client who is at 30 weeks of gestation and is to have a nonstress test (NST). Which of the following statements by the client indicates a need for further teaching?

Correct Answer: A

Rationale: Lying supine during an NST can compress the vena cava, reducing blood flow; a semi-reclined or lateral position is used. Heart rate monitoring, test duration, and active baby timing are correct.

Extract:

Clients in the antenatal clinic


Question 3 of 5

A nurse is teaching about fetal development to a group of clients in the antenatal clinic. Which of the following statements should the nurse include in the teaching?

Correct Answer: C

Rationale: The heartbeat is visible by ultrasound at 6 weeks and audible by Doppler at 8-9 weeks. Quickening occurs at 16-25 weeks, sex is identifiable later, and lanugo peaks earlier.

Extract:

A 17-year-old female client requesting oral contraceptives


Question 4 of 5

A nurse in a family planning clinic is caring for a 17-year-old female client who is requesting oral contraceptives. The client states that she is nervous because she has never had a pelvic examination. Which of the following responses should the nurse make?

Correct Answer: C

Rationale: Asking about specific concerns allows tailored reassurance and support. Relaxation alone, mandating an exam, or general reassurance don't address her nervousness effectively.

Extract:

A client who is in active labor and notes late decelerations in the FHR


Question 5 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.

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