ATI RN
ATI Maternal Newborn Final Exam moitoso Questions
Extract:
Client in OBGYN clinic being screened for cervical cancer risk.
Question 1 of 5
A nurse is conducting screening assessments in an OBGYN clinic. Which of the following clients has risk factors for cervical cancer?
Correct Answer: C
Rationale: Multiple sexual partners increase the risk of HPV infection, the primary cause of cervical cancer.
Extract:
Client suspecting pregnancy.
Question 2 of 5
A client suspects she is pregnant. The nurse is discussing the probable signs of pregnancy with the client. Which of the following findings should the nurse include?
Correct Answer: D
Rationale: A positive urine pregnancy test is a probable sign, detecting hCG, a hormone indicative of pregnancy.
Extract:
Newly licensed nurses learning about preventing TORCH infections.
Question 3 of 5
A nurse is reviewing ways to prevent a TORCH infection during pregnancy with a group of newly licensed nurses. Which statement by the nurse indicates understanding of the teaching?
Correct Answer: B
Rationale: Avoiding cat litter prevents toxoplasmosis, a TORCH infection that can cause severe fetal harm.
Extract:
Primigravida asking about placenta function.
Question 4 of 5
A nurse is providing care to a woman who is at 36 weeks of gestation and in preterm labor with ruptured membranes. The nurse determines that the client's oral temperature is 39.0 C (102.2 F). Besides notifying the provider, which of the following is an appropriate nursing action?
Correct Answer: A
Rationale: Administering antipyretics for maternal fever is essential to reduce risks of fetal tachycardia and distress.
Extract:
Client at 39 weeks in active labor, SROM 2 hours ago, 7 cm dilated, FHR 145 bpm, moderate variability, absent accelerations, recurrent variable decelerations.
Question 5 of 5
The nurse is caring for a client at 39 weeks gestation in active labor. The client had a spontaneous rupture of membranes 2 hours ago with clear amniotic fluid noted. The client was 7 cm at the time of SROM. The nurse assesses the fetal heart rate monitor and identifies a fetal heart baseline of 145 bpm, with moderate variability, accelerations absent and recurrent variable decelerations. Which of the following interventions should the nurse take?
Correct Answer: A,C,D,E
Rationale: Interventions for recurrent variable decelerations include notifying the provider, repositioning to the left lateral position, performing a vaginal exam for cord prolapse, and providing an IV fluid bolus to improve perfusion.