ATI RN
ATI Maternal Final Exam Questions
Extract:
A client who is gravida 1, para 0, at 38 weeks of gestation with preeclampsia
Question 1 of 5
A nurse is caring for an adolescent client who is gravida 1 and para 0. The client was admitted to the hospital at 38 weeks of gestation with a diagnosis of preeclampsia. Which of the following findings should the nurse identify as inconsistent with preeclampsia?
Correct Answer: B
Rationale: Deep tendon reflexes of +1 are normal and inconsistent with preeclampsia, which typically shows brisk or hyperactive reflexes due to CNS irritability.
Extract:
A client at 38 weeks of gestation experiencing polyhydramnios
Question 2 of 5
A nurse is caring for a client who was admitted to the maternity unit at 38 weeks of gestation and who is experiencing polyhydramnios. The nurse should understand that this diagnosis means which of the following?
Correct Answer: D
Rationale: Polyhydramnios refers to an excessive accumulation of amniotic fluid, potentially causing complications such as preterm labor or maternal discomfort, and may require further evaluation.
Extract:
A client in preterm labor
Question 3 of 5
A nurse is admitting a client who has a diagnosis of preterm labor. The nurse anticipates a prescription by the provider for which of the following medications? (Select all that apply.)
Correct Answer: A,C
Rationale: A: Indomethacin inhibits prostaglandin synthesis to delay preterm labor. C: Magnesium sulfate relaxes uterine muscles as a tocolytic. B, D, and E are incorrect as they promote labor or postpartum contractions.
Extract:
A client prescribed lithium 300 mg PO every 8 hr with 150 mg capsules available
Question 4 of 5
A nurse is preparing to administer lithium 300 mg PO every 8 hr. Available is lithium carbonate 150 mg capsules. How many capsules should the nurse administer per dose?
Correct Answer: 2 capsules
Rationale: 300 mg prescribed / 150 mg per capsule = 2 capsules per dose, a whole number requiring no rounding.
Extract:
A client who is at 39 weeks of gestation and in active labor
Question 5 of 5
A nurse is creating the plan of care for a client who is at 39 weeks of gestation and in active labor. Which of the following actions should the nurse include in the plan of care?
Correct Answer: C
Rationale: Checking the cervix before analgesic administration ensures appropriate timing, as giving analgesics at full dilation risks neonatal depression. Continuous FHR monitoring is preferred over hourly.