ATI RN
ATI Maternity Exam 3 Questions
Extract:
A client who is at 18 weeks of gestation
Question 1 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:
New parents with an infant diagnosed with Transient Tachypnea of the Newborn (TTN).
Question 2 of 5
An nurse explains to new parents that their infant has developed Transient Tachypnea of the Newborn (TTN). The nurse understands that risk factors for TTN include which of the following?
Correct Answer: D
Rationale: Cesarean delivery is a key risk for TTN due to delayed lung fluid clearance, unlike prematurity, gender, or maternal GBS status which are unrelated.
Extract:
A client during a nonstress test (NST)
Question 3 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.
Extract:
A client who is in labor
Question 4 of 5
A nurse is performing Leopold maneuvers on a client who is in labor and determines the fetus is in an ROA position. Which of the following fetal presentations should the nurse document in the client's medical record?
Correct Answer: D
Rationale: ROA (Right Occiput Anterior) indicates a vertex presentation, optimal for vaginal delivery. Shoulder, mentum, and breech are abnormal presentations.
Extract:
Counseling a new mother about breast milk immunologic properties.
Question 5 of 5
An nurse is counseling a new mother about the immunologic properties of breast milk. The nurse emphasizes that breast milk is the main source of which specific immunoglobulin?
Correct Answer: C
Rationale: IgA in breast milk, especially colostrum, protects the infant's gut mucosa, unlike IgG, IgE, or IgM which have lesser roles.