ATI RN
ATI Maternity Exam 3 Questions
Extract:
A client who is having a difficult, prolonged labor with severe backache
Question 1 of 5
A nurse on the labor and delivery unit is caring for a client who is having a difficult, prolonged labor with severe backache. Which of the following contributing causes should the nurse identify?
Correct Answer: A
Rationale: Persistent occiput posterior position causes back pain and prolonged labor due to poor alignment. Flexion, longitudinal lie, and gynecoid pelvis are normal and not causative.
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 newborn diagnosed with respiratory distress syndrome (RDS).
Question 3 of 5
A nurse explains to new parents that their newborn has developed respiratory distress syndrome (RDS). Which of the following assessments that the nurse makes would support a diagnosis of RDS?
Correct Answer: D
Rationale: Chest retractions indicate respiratory distress from surfactant deficiency in RDS, unlike normal pulse, respiratory rate, or unrelated jaundice.
Extract:
A client who is at 15 weeks of gestation
Question 4 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: D
Rationale: The maternal serum alpha-fetoprotein test screens for neural tube defects and Down syndrome. It doesn't assess lung maturity, general wellbeing, or Rh incompatibility.
Extract:
A woman with a history of crack cocaine use admitted to the Labor and Birthing Unit with fetal bradycardia, acute abdominal pain, and dark red vaginal bleeding.
Question 5 of 5
A woman with a history of crack cocaine use is admitted to the Labor and Birthing Unit. While caring for the patient, the nurse notes a sudden onset of fetal bradycardia. The patient also complains of acute abdominal pain that is continuous and she has dark red vaginal bleeding. Which of the following would the nurse suspect?
Correct Answer: B
Rationale: These symptoms suggest placental abruption, exacerbated by cocaine use, causing fetal distress and maternal hemorrhage, unlike the other conditions which present differently.