Questions 42

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ATI NUR270A Maternity Exam Questions

Extract:

High-risk antenatal clients.


Question 1 of 5

A nurse receives a shift report and must first assess the high-risk antenatal client who is:

Correct Answer: A

Rationale: Proteinuria and vomiting at 35 weeks suggest preeclampsia, requiring immediate assessment.

Extract:


Question 2 of 5

The nurse knows that a diagnosis for gestational diabetes can be determined with which lab values?

Correct Answer: D

Rationale: Elevated 3-hour glucose tolerance test values (e.g., 190 mg/dL) confirm gestational diabetes.

Extract:

Client in labor with contractions every 8-10 minutes, 3 cm dilated, 80% effaced, head -2 station.


Question 3 of 5

A client arrives in labor and delivery having contractions every 8-10 minutes, lasting 30 seconds, and palpated as hard. Fetal heart rate is 124-138 with good variability. Maternal vital signs are 98.4°F temp, HR 88, RR 20, BP 112/64. Membranes are intact and vaginal exam reveals: cervix is 80% effaced, 3 cm dilated, head -2 station. The nurse knows that the patient is in which stage of labor?

Correct Answer: D

Rationale: Cervical dilation of 3 cm and 80% effacement indicate the latent phase of the first stage of labor.

Extract:

Primigravida discussing labor and delivery during a prenatal visit.


Question 4 of 5

While discussing labor and delivery during a prenatal visit, a primigravida asks the nurse when she should go to the hospital. The nurse's teaching was effective when the patient states that she will come when she:

Correct Answer: B

Rationale: Ruptured membranes signal potential labor onset or infection risk, necessitating hospital evaluation.

Extract:


Question 5 of 5

A nurse is caring for several clients. The nurse should recognize that it is appropriate to administer tocolytic therapy to which of the following clients?

Correct Answer: D

Rationale:
Tocolytics delay preterm labor at 32 weeks to enhance fetal development.

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