ATI RN
ATI Nurs 140 exam Maternal Newborn Questions
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 1 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 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 2 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 has rubella at the time of delivery and asks why her newborn is being placed in isolation.
Question 3 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: A
Rationale: The newborn might be actively shedding the rubella virus, which is highly contagious, necessitating isolation to prevent transmission to other susceptible individuals.
Extract:
A nurse is caring for a client who is in active labor and notes late decelerations in the FHR.
Question 4 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: C
Rationale: Administering oxygen at 10 L/min via a nonrebreather mask is the first action to increase oxygen saturation and prevent fetal hypoxia caused by uteroplacental insufficiency indicated by late decelerations.
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.