ATI RN
ATI NUR270A Maternity Exam Questions
Extract:
Primigravida at 39 weeks pregnant with easier breathing, frequent urination, and ankle swelling.
Question 1 of 5
A primigravida calls the Labor & Delivery unit and tells the nurse that she is 39 weeks pregnant and that over the past few days, although her breathing has become easier, she now feels the urge to urinate more often and has more swelling in her ankles and feet. The nurse tells the client that she is experiencing what is commonly called:
Correct Answer: B
Rationale: Lightening occurs when the fetus descends into the pelvis, easing breathing but increasing bladder pressure and swelling.
Extract:
3800 gram newborn with meconium aspiration.
Question 2 of 5
A 3800 gram newborn was admitted to the neonatal intensive care unit at 39 weeks with meconium aspiration. Metoclopramide 0.1 mg/kg every 12 hours was started. On hand is Metoclopramide 0.5 mg/ml. What is the appropriate dose the RN will administer in ml in 12 hours?
Correct Answer: A
Rationale: Calculation: 3800 g = 3.8 kg; 3.8 kg x 0.1 mg/kg = 0.38 mg; 0.38 mg / 0.5 mg/mL = 0.76 mL.
Extract:
Primigravida dilated to 5 cm, received epidural, feeling lightheaded, BP 80/52.
Question 3 of 5
A primigravida dilated to 5 cm has just received an epidural for pain. She complains of feeling lightheaded and dizzy within 10 minutes after the procedure. Her blood pressure before the procedure was 120/80 and is now 80/52. Which of the following medications is used in this situation?
Correct Answer: D
Rationale: Ephedrine treats epidural-induced hypotension by increasing blood pressure.
Extract:
Client in active labor with persistent late decelerations.
Question 4 of 5
A nurse is caring for a client who is in active labor and notes persistent late decelerations on the fetal monitor. Which of the following are the priority nursing actions? (Select all that apply.)
Correct Answer: B,D,F
Rationale: Notifying the provider, repositioning to side-lying, and administering oxygen address fetal distress by improving oxygenation.
Extract:
34-year-old female, gravida 4, para 3, at 34 weeks gestation with chronic hypertension, headache, visual disturbances, abdominal discomfort.
Question 5 of 5
A nurse is caring for a 34-year-old female client who is at 34 weeks of gestation in the labor and delivery unit. Select the potential condition, actions to take and the parameters to monitor.
Correct Answer: B
Rationale: Preeclampsia is indicated by hypertension, proteinuria, and symptoms; monitor blood pressure and platelets, administer magnesium sulfate, and prepare for delivery.