ATI RN
ATI Maternity Exam 3 Questions
Extract:
A patient who is having induction of labor with oxytocin administered through a secondary IV line
Question 1 of 5
A nurse on the labor and delivery unit is caring for a patient who is having induction of labor with oxytocin administered through a secondary IV line. Uterine contractions occur every 2 minutes, last 90 seconds, and are strong to palpation. The baseline fetal heart rate is 150/minute, with uniform decelerations beginning at the peak of the contraction and a return to baseline after the contraction is over. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Discontinuing oxytocin stops uterine hyperstimulation, indicated by frequent, prolonged contractions and late decelerations, to prevent fetal hypoxia. Increasing oxytocin worsens distress, IV fluid rate doesn't address the issue, and breathing rate is unrelated.
Extract:
A client who is in active labor and notes late decelerations in the FHR
Question 2 of 5
A nurse is caring for a client who is in active labor and notes late decelerations in the FHR. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: Left lateral positioning improves uteroplacental blood flow to address late decelerations from insufficiency. Oxygen, scalp electrodes, and IV fluids are secondary steps.
Extract:
A client whose laboratory findings indicate a negative rubella titer
Question 3 of 5
A nurse is caring for an antepartum client whose laboratory findings indicate a negative rubella titer. Which of the following is the correct interpretation of this data?
Correct Answer: C
Rationale: A negative rubella titer indicates non-immunity, requiring immunization post-delivery to protect future pregnancies. Vaccination during pregnancy is unsafe, it doesn't confirm no infection, and immunity is absent.
Extract:
Clients in an antepartum unit
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: D
Rationale: Painless vaginal bleeding at 28 weeks suggests placenta previa, a life-threatening condition requiring immediate assessment. Cough, spotting, and nausea are less urgent.
Extract:
Obstetrical risks for a pregnant teenager.
Question 5 of 5
Obstetrical risks to consider for a pregnant teenager would be all of the following, EXCEPT:
Correct Answer: A
Rationale: Teenage pregnancy is not typically associated with macrosomia, which is linked to maternal diabetes or obesity, unlike preeclampsia, poor nutrition, and cephalopelvic disproportion, which are common risks.