ATI RN
ATI Maternity Exam 3 Questions
Extract:
A woman who is contemplating pregnancy
Question 1 of 5
A nurse is instructing a woman who is contemplating pregnancy about nutritional needs. To reduce the risk of giving birth to a newborn who has a neural tube defect, which of the following information should the nurse include in the teaching?
Correct Answer: C
Rationale: Folic acid supplementation before and during early pregnancy significantly reduces neural tube defect risk. Iron supports overall health, alcohol avoidance prevents other issues, and aspartame isn't linked to neural tube defects.
Extract:
A newborn at 36 weeks' gestation with nasal flaring, labored breathing, and excessive mucus.
Question 2 of 5
The nurse assesses a newborn at 36 weeks' gestation, and the following behaviors are noted: nasal flaring, labored breathing, and excessive mucus. The nurse is most concerned about:
Correct Answer: D
Rationale: These symptoms in a preterm newborn suggest RDS due to surfactant deficiency, a serious condition requiring urgent intervention, unlike the less likely or unrelated other options.
Extract:
A client at the first prenatal visit who has a BMI of 26.5
Question 3 of 5
A nurse is caring for a client at the first prenatal visit who has a BMI of 26.5. The client asks how much weight she should gain during pregnancy. Which of the following responses should the nurse make?
Correct Answer: C
Rationale: For a BMI of 26.5 (overweight), 15-25 pounds is recommended. One pound per week is too vague, 11-20 pounds is insufficient, and 25-35 pounds is for normal BMI.
Extract:
A client who is gravida 3, para 2, and is in active labor
Question 4 of 5
A nurse is caring for a client who is gravida 3, para 2, and is in active labor. The fetal head is at 3+ station after a vaginal examination. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: A 3+ station indicates imminent delivery, so observing for crowning prepares for birth. Nuchal cord checks, oxytocin, or fundal pressure are inappropriate at this stage.
Extract:
A client who is in active labor
Question 5 of 5
A nurse is assessing a client who is in active labor and notes that the presenting part is at 0 station. Which of the following is the correct interpretation of this clinical finding?
Correct Answer: B
Rationale: Station 0 means the presenting part is at the ischial spines level. Outlet passage, fontanel palpation, and head position are unrelated to station.