ATI RN
ATI Maternity Exam 3 Questions
Extract:
A client who smokes one pack of cigarettes per day at 6 weeks of gestation
Question 1 of 5
A nurse is completing a health history for a client who is at 6 weeks of gestation. The client informs the nurse that she smokes one pack of cigarettes per day. The nurse should advise the client that smoking places the client's newborn at risk for which of the following complications?
Correct Answer: D
Rationale: Smoking reduces placental blood flow, causing intrauterine growth restriction. It's not strongly linked to type 1 diabetes, hearing loss, or heart defects in this context.
Extract:
A woman 12 hours postpartum with a pulse rate of 60 beats per minute.
Question 2 of 5
A woman who is 12 hours postpartum had a pulse rate around 80 beats per minute during pregnancy. Now, the nurse finds a pulse of 60 beats per minute. Which of these actions should the nurse take?
Correct Answer: C
Rationale: A pulse of 60 is normal postpartum as cardiovascular adaptations normalize, unlike the incorrect associations with DIC, eclampsia, or anemia.
Extract:
A client who is undergoing external fetal monitoring
Question 3 of 5
A nurse in the labor and delivery unit is caring for a client who is undergoing external fetal monitoring. The nurse observes that the fetal heart rate begins to slow after the start of a contraction and the lowest rate occurs after the peak of the contraction. Which of the following actions should the nurse take first?
Correct Answer: C
Rationale: Late decelerations suggest uteroplacental insufficiency; lateral positioning improves blood flow. Oxygen, leg elevation, and IV fluids are secondary.
Extract:
A client who is to undergo an amniotomy
Question 4 of 5
A nurse is caring for a client who is to undergo an amniotomy. Which of the following is the priority nursing action immediately following this procedure?
Correct Answer: B
Rationale: Assessing fetal heart rate post-amniotomy detects distress from cord compression or other issues. Temperature, fluid documentation, and tenderness checks are secondary.
Extract:
A client who is 42 weeks of gestation
Question 5 of 5
A nurse is caring for a client who is 42 weeks of gestation. Based on the assessment findings, which of the following actions should the nurse plan to take?
Correct Answer: B,C,D
Rationale: For post-term pregnancy with potential distress, IV fluids, side-lying position, and oxygen improve perfusion and oxygenation. Increasing oxytocin risks distress, and SVE isn't urgent.