ATI RN
ATI Maternal Final Exam Questions
Extract:
A client who is pregnant and has phenylketonuria (PKU)
Question 1 of 5
A nurse is providing teaching to a client who is pregnant and has phenylketonuria (PKU). Which of the following foods should the nurse instruct the client to eliminate from her diet?
Correct Answer: A
Rationale: Peanut butter is high in phenylalanine, which PKU clients cannot metabolize, necessitating its elimination to prevent complications.
Extract:
A client in the first stage of labor with external fetal monitoring and variable decelerations
Question 2 of 5
A nurse is caring for a client who is in the first stage of labor, undergoing external fetal monitoring, and receiving IV fluid. The nurse observes variable decelerations in the fetal heart rate on the monitor strip. Which of the following is a correct interpretation of this finding?
Correct Answer: D
Rationale: Variable decelerations are caused by umbilical cord compression, leading to abrupt, V-shaped decreases in fetal heart rate, often requiring positional changes or amnioinfusion to alleviate.
Extract:
A client at 28 weeks of gestation receiving terbutaline, a client with preeclampsia, or a tearful client at 32 weeks with irregular contractions
Question 3 of 5
A nurse is caring for a group of clients on an intrapartum unit. Which of the following findings should be reported to the provider immediately?
Correct Answer: C
Rationale: Epigastric pain and unresolved headache in preeclampsia suggest worsening conditions like HELLP syndrome or severe preeclampsia, requiring immediate reporting to prevent maternal and fetal complications.
Extract:
A client in preterm labor
Question 4 of 5
A nurse is admitting a client who has a diagnosis of preterm labor. The nurse anticipates a prescription by the provider for which of the following medications? (Select all that apply.)
Correct Answer: A,C
Rationale: A: Indomethacin inhibits prostaglandin synthesis to delay preterm labor. C: Magnesium sulfate relaxes uterine muscles as a tocolytic. B, D, and E are incorrect as they promote labor or postpartum contractions.
Extract:
A client who had a vaginal delivery 2 hr ago
Question 5 of 5
A nurse is caring for a client who had a vaginal delivery 2 hr ago. Which of the following actions should the nurse anticipate in the care of this client? (Select all that apply.)
Correct Answer: B,C,D,E
Rationale: B: Checking if the fundus is midline ensures proper uterine positioning. C: Documenting fundal height tracks involution. D: Observing lochia monitors for excessive bleeding. E: Methylergonovine is indicated for a boggy uterus to promote contractions. A is incorrect as massaging a firm fundus is unnecessary.