ATI RN
ATI Nurs 140 exam Maternal Newborn Questions
Extract:
A nurse is caring for a client who is in the first stage of labor, undergoing external fetal monitoring, and receiving IV fluid. The nurse observes variable decelerations in the fetal heart rate on the monitor strip.
Question 1 of 5
A nurse is caring for a client who is in the first stage of labor, undergoing external fetal monitoring, and receiving IV fluid. The nurse observes variable decelerations in the fetal heart rate on the monitor strip. Which of the following is a correct interpretation of this finding?
Correct Answer: B
Rationale: Variable decelerations are due to umbilical cord compression, which reduces blood flow and oxygen delivery to the fetus, resulting in abrupt and irregular decreases in the fetal heart rate that vary in onset, depth, and duration.
Extract:
A nurse is caring for a client who is at 34 weeks of gestation. The client has a medical history of gestational diabetes, preeclampsia with previous pregnancy, and chronic hypertension for 5 years. The client's vital signs are: BP: 170/104 mm Hg, Pulse: 89/min, Respirations: 20/min, Temperature: 98.8°F (37.1°C) Oral, Oxygen saturation: 97% room air.
Question 2 of 5
A nurse is caring for a client who is at 34 weeks of gestation. The client has a medical history of gestational diabetes, preeclampsia with previous pregnancy, and chronic hypertension for 5 years. The client's vital signs are: BP: 170/104 mm Hg, Pulse: 89/min, Respirations: 20/min, Temperature: 98.8°F (37.1°C) Oral, Oxygen saturation: 97% room air. Based on the information provided, what is the most likely diagnosis for the client?
Correct Answer: B
Rationale: Chronic hypertension with superimposed preeclampsia is likely due to the client's pre-existing hypertension, high BP at 34 weeks, and proteinuria, indicating severe preeclampsia.
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:
The nurse caring for the pregnant patient understands that the hormone essential for maintaining pregnancy is:
Question 4 of 5
The nurse caring for the pregnant patient understands that the hormone essential for maintaining pregnancy is:
Correct Answer: D
Rationale: Progesterone is essential for maintaining pregnancy by preventing uterine contractions and immune responses against the fetus, produced by the corpus luteum and later the placenta.
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 5 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.