ATI RN
ATI Maternal Final Exam Questions
Extract:
A client who is at 40 weeks of gestation and in labor with electronic fetal heart rate monitoring
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 indicate umbilical cord compression, characterized by abrupt fetal heart rate drops, suggesting issues like cord prolapse or nuchal cord, requiring intervention.
Extract:
A client who is gravida 3, para 2, in active labor with fetal head at 3+ station
Question 2 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: At 3+ station, the fetal head is low in the birth canal, and crowning may occur soon, indicating imminent delivery, requiring observation.
Extract:
A client with diabetes prescribed 14 units regular insulin and 28 units NPH insulin at breakfast
Question 3 of 5
A nurse is caring for a client who has diabetes and a new prescription for 14 units of regular insulin and 28 units of NPH insulin subcutaneously at breakfast daily. What is the total number of units of insulin that the nurse should prepare in the insulin syringe?
Correct Answer: D
Rationale:
Total insulin = 14 units regular + 28 units NPH = 42 units, the amount to prepare in the syringe.
Extract:
A client who is at 38 weeks of gestation and in the first stage of labor
Question 4 of 5
A nurse is admitting a client who is at 38 weeks of gestation and is in the first stage of labor. Which of the following assessment findings should the nurse report to the provider first?
Correct Answer: B
Rationale: Continuous contractions lasting 2 minutes suggest uterine hyperstimulation, risking fetal hypoxia, and require immediate provider notification for intervention.
Extract:
A client with severe preeclampsia receiving magnesium sulfate IV at 2 g/hr
Question 5 of 5
A nurse is caring for a client who has severe preeclampsia and is receiving magnesium sulfate IV at 2 g/hr. Which of the following findings indicates that it is safe for the nurse to continue the infusion?
Correct Answer: C
Rationale: A respiratory rate of 16/min indicates no respiratory depression, suggesting it is safe to continue magnesium sulfate, unlike signs of toxicity like low urine output or diminished reflexes.