ATI RN
ATI OB Maternal Newborn Nurs 4650 Questions
Extract:
Client scheduled for a cesarean birth
Question 1 of 5
A nurse is caring for a client who is scheduled for a cesarean birth based upon the fetal lungs having reached maturity. Which of the following findings indicates that the fetal lungs are mature?
Correct Answer: B
Rationale: An L/S ratio of 2:1 indicates sufficient surfactant for fetal lung maturity, reducing respiratory distress risk.
Extract:
Client in her first trimester of pregnancy
Question 2 of 5
A nurse at a prenatal clinic is caring for a client who is in her first trimester of pregnancy. The client tells the nurse that she is upset because, although she and her husband planned this pregnancy, she has been having many doubts and second thoughts about the upcoming changes in her life. Which of the following is an appropriate response by the nurse?
Correct Answer: C
Rationale: Ambivalent feelings are normal in early pregnancy due to hormonal and life changes; this response validates the client's emotions.
Extract:
Client at 36 weeks of gestation with suspected placenta previa
Question 3 of 5
A nurse is caring for a client who is at 36 weeks of gestation and who has a suspected placenta previa. Which of the following findings support this diagnosis?
Correct Answer: D
Rationale: Painless red vaginal bleeding is a classic sign of placenta previa, caused by placental tearing as the cervix dilates.
Extract:
Client in labor with epidural anesthesia, BP 80/40 mmHg, fetal heart rate 140/min
Question 4 of 5
A nurse is caring for a client who is in labor and has an epidural anesthesia block. The client's blood pressure is 80/40mmHg and the fetal heart rate is 140/min. Which of the following is the priority nursing action?
Correct Answer: B
Rationale: Hypotension from epidural anesthesia requires lateral positioning to improve maternal and fetal circulation.
Extract:
Client with preeclampsia receiving magnesium sulfate IV, respiratory rate 10/min, absent deep-tendon reflexes
Question 5 of 5
A nurse is caring for a client who has preeclampsia and is being treated with magnesium sulfate IV. The client's respiratory rate is 10/min and deep-tendon reflexes are absent. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Respiratory depression and absent reflexes indicate magnesium toxicity; discontinuing the infusion prevents further complications.