ATI RN
ATI Maternal Newborn Exam 4 Questions
Extract:
A primigravida at 40 weeks of gestation is having uterine contractions every 1.5 to 2 minutes and states that they are very painful. Her cervix is dilated 2 cm and has not changed in 3 hours.
Question 1 of 5
A primigravida at 40 weeks of gestation is having uterine contractions every 1.5 to 2 minutes and states that they are very painful. Her cervix is dilated 2 cm and has not changed in 3 hours. The woman is crying and wants an epidural. What is the likely status of this woman's labor?
Correct Answer: A
Rationale: Frequent, painful contractions without cervical change indicate hypertonic dysfunction, risking fetal distress, unlike normal latent, precipitous, or hypotonic labor.
Extract:
A client who is in the first stage of labor. The nurse observes the umbilical cord protruding from the vagina.
Question 2 of 5
A nurse is caring for a client who is in the first stage of labor. The nurse observes the umbilical cord protruding from the vagina. Which of the following actions should the nurse perform first?
Correct Answer: A
Rationale: Relieving cord pressure prevents fetal hypoxia, the immediate priority in cord prolapse. Other actions follow to support delivery.
Extract:
A client who has a suspected ectopic pregnancy at 8 weeks of gestation.
Question 3 of 5
A nurse is caring for a client who has a suspected ectopic pregnancy at 8 weeks of gestation. Which of the following manifestations should the nurse expect to identify as consistent with the diagnosis?
Correct Answer: B
Rationale: Unilateral pain from tubal stretching is typical in ectopic pregnancy. Excessive uterine growth, severe nausea, or heavy bleeding are not consistent.
Extract:
A client who is receiving magnesium sulfate to treat severe preeclampsia.
Question 4 of 5
Which compound would the nurse have readily available for a client who is receiving magnesium sulfate to treat severe preeclampsia?
Correct Answer: D
Rationale: Calcium gluconate reverses magnesium sulfate toxicity, critical for managing respiratory depression or cardiac issues.
Extract:
A client who experienced a cesarean birth due to dysfunctional labor. The client states that she is disappointed that she did not have natural childbirth.
Question 5 of 5
A nurse is caring for a client who experienced a cesarean birth due to dysfunctional labor. The client states that she is disappointed that she did not have natural childbirth. Which of the following responses should the nurse make?
Correct Answer: D
Rationale: Empathetic reflection validates the client's feelings, fostering emotional support. Other responses dismiss her emotions, provide inaccurate information, or make assumptions.