ATI RN
ATI Nurs 140 exam Maternal Newborn Questions
Extract:
A nurse is caring for a client who is receiving opioid epidural analgesia during labor. Blood pressure 80/56 mm Hg, Temperature 38.2°C (100.8°F), reports weakness of the lower extremities, reports profuse itching.
Question 1 of 5
A nurse is caring for a client who is receiving opioid epidural analgesia during labor. Which of the following findings is the nurse's priority?
Correct Answer: A
Rationale: Blood pressure 80/56 mm Hg indicates hypotension, a serious complication of epidural analgesia that can compromise maternal and fetal perfusion, making it the priority finding requiring immediate intervention.
Extract:
A nurse is caring for a group of clients on an intrapartum unit. A client who has a diagnosis of preeclampsia reports epigastric pain and unresolved headache; A client who has a diagnosis of preeclampsia has 2+ proteinuria and 2+ patellar reflexes; A client who is at 28 weeks of gestation and receiving terbutaline reports fine tremors; A tearful client who is at 32 weeks of gestation and is experiencing irregular, frequent contractions.
Question 2 of 5
A nurse is caring for a group of clients on an intrapartum unit. Which of the following findings should be reported to the provider immediately?
Correct Answer: A
Rationale: Epigastric pain and unresolved headache in a client with preeclampsia indicate severe preeclampsia, which can progress to eclampsia, requiring immediate reporting and intervention.
Extract:
A nurse is preparing to measure the fundal height of a client who is at 22 weeks of gestation.
Question 3 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 prenatal clinic is caring for a client. Using Leopold maneuvers, the nurse palpates a round, firm, movable part in the fundus of the uterus and a long, smooth surface on the client's right side.
Question 4 of 5
A nurse in a prenatal clinic is caring for a client. Using Leopold maneuvers, the nurse palpates a round, firm, movable part in the fundus of the uterus and a long, smooth surface on the client's right side. In which abdominal quadrant should the nurse expect to auscultate fetal heart tones?
Correct Answer: D
Rationale: The right lower quadrant is the most likely location for fetal heart tones. The round, firm, movable part in the fundus indicates a breech position, and the long, smooth surface on the right side suggests the fetal spine is on the same side, placing the fetal chest in the lower right quadrant.
Extract:
A nurse midwife is examining a client who is primigravida at 42 weeks of gestation and states that she believes she is in labor.
Question 5 of 5
A nurse midwife is examining a client who is primigravida at 42 weeks of gestation and states that she believes she is in labor. Which of the following findings confirm to the nurse that the client is in labor?
Correct Answer: B
Rationale: Cervical dilation is a definitive sign of labor, indicating the cervix is opening and thinning to allow fetal passage, measured in centimeters from 0 to 10.