ATI RN
ATI Nurs 140 exam Maternal Newborn Questions
Extract:
A nurse on the labor and delivery unit is caring for a client following a vaginal examination by the provider which is documented as: -1.
Question 1 of 5
A nurse on the labor and delivery unit is caring for a client following a vaginal examination by the provider which is documented as: -1. Which of the following interpretations of this finding should the nurse make?
Correct Answer: C
Rationale: A finding of -1 indicates the presenting part is 1 cm above the ischial spines, showing the fetus is descending but not yet engaged in the pelvis.
Extract:
A nurse is caring for a client who is in active labor and notes late decelerations on the fetal monitor.
Question 2 of 5
A nurse is caring for a client who is in active labor and notes late decelerations on the fetal monitor. Which of the following is the priority nursing action?
Correct Answer: D
Rationale: Positioning the client on her side is the priority action for late decelerations, as it reduces uterine pressure on the inferior vena cava and aorta, improving maternal and fetal circulation and oxygenation.
Extract:
A nurse is admitting a client who has severe preeclampsia at 35 weeks of gestation.
Question 3 of 5
A nurse is admitting a client who has severe preeclampsia at 35 weeks of gestation and is reviewing the provider's orders. Which of the following orders requires clarification?
Correct Answer: C
Rationale: Ambulating twice daily is inappropriate for severe preeclampsia, as it may increase the risk of bleeding, seizures, or placental abruption; bed rest is typically recommended.
Extract:
A nurse is caring for a client who is at 22 weeks of gestation and has been unable to control her gestational diabetes mellitus with diet and exercise.
Question 4 of 5
A nurse is caring for a client who is at 22 weeks of gestation and has been unable to control her gestational diabetes mellitus with diet and exercise. The nurse should anticipate a prescription from the provider for which of the following medications for the client?
Correct Answer: B
Rationale: Insulin is the preferred medication for gestational diabetes mellitus as it does not cross the placenta, is safe for the fetus, and effectively controls maternal blood glucose levels.
Extract:
A nurse is caring for a client who is in labor and has an external fetal monitor. The nurse observes late decelerations on the monitor strip.
Question 5 of 5
A nurse is caring for a client who is in labor and has an external fetal monitor. The nurse observes late decelerations on the monitor strip and interprets them as indicating which of the following?
Correct Answer: C
Rationale: Late decelerations indicate uteroplacental insufficiency, where reduced placental blood flow causes fetal hypoxia, shown by symmetrical heart rate decreases after contraction peaks.