ATI RN
ATI Maternity Exam 3 Questions
Extract:
A client during the first prenatal visit
Question 1 of 5
A nurse is providing dietary education to a client during the first prenatal visit. Which of the following statements by the client should indicate to the nurse a need for clarification?
Correct Answer: D
Rationale: Some fish high in mercury are unsafe in pregnancy, requiring clarification. Avoiding alcohol, 2 liters of fluid, and moderate caffeine are correct.
Extract:
A client who is at 18 weeks of gestation
Question 2 of 5
A nurse is teaching a client who is at 18 weeks of gestation and is to undergo an amniocentesis. The nurse should explain that the purpose of this test is to identify which of the following?
Correct Answer: B,E
Rationale: Amniocentesis primarily detects chromosomal anomalies and can screen for neural tube defects. Gender may be noted, but Rh incompatibility and cephalopelvic disproportion are assessed differently.
Extract:
A client with insulin-dependent type 2 diabetes and an HbA1c of 6.0% planning pregnancy.
Question 3 of 5
A client with insulin-dependent type 2 diabetes and an HbA1c of 6.0% is planning to become pregnant soon. What anticipatory teaching should the nurse provide this client?
Correct Answer: A
Rationale: Insulin needs shift due to hormonal changes, unlike incorrect claims about vascular disease, ketoacidosis, or congenital risks with controlled diabetes.
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 during a nonstress test (NST)
Question 5 of 5
A nurse is caring for a client during a nonstress test (NST). At the end of a 30-min period of observation, the nurse notes the following findings: The fetal heart rate baseline is 120/min with minimal variability and no accelerations. There are two decelerations of 15/min in the fetal heart rate during a period of fetal movement, each lasting 20 seconds. Which of the following interpretations of these findings should the nurse make?
Correct Answer: D
Rationale: No accelerations and minimal variability indicate a nonreactive NST, suggesting potential fetal compromise needing further evaluation. Reactive tests require accelerations; negative/positive aren't NST terms.