ATI RN
ATI Nurs 140 exam Maternal Newborn Questions
Extract:
A nurse midwife is examining a client who is primigravida at 42 weeks of gestation and states that she believes she is in labor.
Question 1 of 5
A nurse midwife is examining a client who is primigravida at 42 weeks of gestation and states that she believes she is in labor. Which of the following findings confirm to the nurse that the client is in labor?
Correct Answer: B
Rationale: Cervical dilation is a definitive sign of labor, indicating the cervix is opening and thinning to allow fetal passage, measured in centimeters from 0 to 10.
Extract:
A nurse is caring for a client who has rubella at the time of delivery and asks why her newborn is being placed in isolation.
Question 2 of 5
A nurse is caring for a client who has rubella at the time of delivery and asks why her newborn is being placed in isolation. Which of the following responses by the nurse is appropriate?
Correct Answer: A
Rationale: The newborn might be actively shedding the rubella virus, which is highly contagious, necessitating isolation to prevent transmission to other susceptible individuals.
Extract:
A nurse is caring for a client who is scheduled for a maternal serum alpha-fetoprotein test at 15 weeks of gestation.
Question 3 of 5
A nurse is caring for a client who is scheduled for a maternal serum alpha-fetoprotein test at 15 weeks of gestation. The nurse provides which of the following explanations about this test to the client?
Correct Answer: A
Rationale: The maternal serum alpha-fetoprotein test screens for neural tube defects like spina bifida by measuring alpha-fetoprotein levels, which are elevated in such conditions.
Extract:
A nurse in an antepartum unit is triaging clients.
Question 4 of 5
A nurse in an antepartum unit is triaging clients. Which of the following clients should the nurse see first?
Correct Answer: B
Rationale: A client at 28 weeks of gestation with painless vaginal bleeding is the most urgent case, as this could indicate placenta previa, which can cause severe hemorrhage and fetal distress, requiring immediate attention.
Extract:
Which blood pressure (BP) finding during the second trimester indicates a risk for pregnancy-induced hypertension? Baseline BP 140/85, current BP 129/80; Baseline BP 110/70, current BP 145/85; Baseline BP 120/80, current BP 126/85; Baseline BP 110/60, current BP 120/63.
Question 5 of 5
Which blood pressure (BP) finding during the second trimester indicates a risk for pregnancy-induced hypertension?
Correct Answer: B
Rationale: An increase in BP from baseline by 30 mm Hg systolic or 15 mm Hg diastolic indicates a risk for pregnancy-induced hypertension. A current BP of 145/85 mm Hg from a baseline of 110/70 mm Hg shows a significant elevation, suggesting a risk for complications.