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 at 12 weeks of gestation
Question 2 of 5
A nurse is providing teaching about expected gestational changes to a client who is at 12 weeks of gestation. Which of the following statements by the client indicates a need for further teaching?
Correct Answer: B
Rationale: Nonprescription medications may harm the fetus, requiring healthcare provider consultation, indicating a need for further teaching. Monitoring weight, consulting on remedies, and reducing stress are appropriate.
Extract:
A woman who is contemplating pregnancy
Question 3 of 5
A nurse is instructing a woman who is contemplating pregnancy about nutritional needs. To reduce the risk of giving birth to a newborn who has a neural tube defect, which of the following information should the nurse include in the teaching?
Correct Answer: C
Rationale: Folic acid supplementation before and during early pregnancy significantly reduces neural tube defect risk. Iron supports overall health, alcohol avoidance prevents other issues, and aspartame isn't linked to neural tube defects.
Extract:
A client at 15 weeks of gestation scheduled for an amniocentesis
Question 4 of 5
A nurse in a prenatal clinic is instructing a client about an amniocentesis, which is scheduled at 15 weeks of gestation. Which of the following should be included in the teaching?
Correct Answer: D
Rationale: Amniocentesis requires sufficient amniotic fluid for safe sampling to diagnose genetic conditions. Heartbeat detection isn't a prerequisite, it doesn't assess lung maturity, and Rh immune globulin is for Rh-negative mothers.
Extract:
A client who is at 22 weeks of gestation
Question 5 of 5
A nurse is preparing to measure the fundal height of a client who is at 22 weeks of gestation. At which location should the nurse expect to palpate the fundus?
Correct Answer: C
Rationale: At 22 weeks, the fundus is approximately 2 cm above the umbilicus, aligning with gestational age progression. Other locations are incorrect for this stage.