ATI RN
ATI Pediatrics Final Exam Questions
Extract:
A client who is at 40 weeks of gestation and is in labor
Question 1 of 5
A nurse is observing the electronic fetal heart rate monitor tracing for a client who is at 40 weeks of gestation and is in labor. The nurse should suspect a problem with the umbilical cord when she observes which of the following patterns?
Correct Answer: D
Rationale: Variable decelerations are abrupt decreases in fetal heart rate that vary in timing, duration, and depth. They are often associated with umbilical cord compression, such as when the cord is being compressed or squeezed during contractions.
Extract:
A client who is in her second trimester and has a new diagnosis of gestational diabetes
Question 2 of 5
A nurse in a prenatal clinic is teaching a client who is in her second trimester and has a new diagnosis of gestational diabetes. Which of the following statements by the client indicates a need for further teaching?
Correct Answer: B
Rationale: Glyburide is not recommended for use in pregnancy due to safety concerns for the fetus.
Extract:
A client who is at 30 weeks of gestation and is in preterm labor
Question 3 of 5
A nurse is admitting a client who is at 30 weeks of gestation and is in preterm labor. The client has a new prescription for betamethasone and asks the nurse about the purpose of this medication. The nurse should provide which of the following explanations?
Correct Answer: C
Rationale: Betamethasone is a corticosteroid used in the prepartum period to promote fetal lung maturity.
Extract:
A client who is in active labor with 7 cm of cervical dilation and 100% effacement. The fetus is at 1+ station, and the client's amniotic membranes are intact. The client suddenly states that she needs to push
Question 4 of 5
A nurse is caring for a client who is in active labor with 7 cm of cervical dilation and 100% effacement. The fetus is at 1+ station, and the client's amniotic membranes are intact. The client suddenly states that she needs to push. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Panting helps the client manage the urge to push and prevents premature pushing, which can cause cervical swelling or injury.
Extract:
An adolescent client who has pelvic inflammatory disease as a consequence of a sexually transmitted infection
Question 5 of 5
A nurse is caring for an adolescent client who has pelvic inflammatory disease as a consequence of a sexually transmitted infection, and will need intravenous antibiotic therapy. The client tells the nurse, 'My parents think I am a virgin. I don't think I can tell them I have this kind of an infection.' Which of the following responses should the nurse make?
Correct Answer: B
Rationale: This response acknowledges the client's feelings and opens up the opportunity for further discussion.