ATI RN
ATI NUR270A Maternity Exam Questions
Extract:
Primigravida dilated to 5 cm, received epidural, feeling lightheaded, BP 80/52.
Question 1 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 labor, 2 cm dilated, 60% effaced, -2 station.
Question 2 of 5
A client arrives in labor and delivery, and the L&D primary nurse gets a report from the L&D triage nurse. How does the primary nurse interpret the following information on the client's labor: 2 cm, 60%, and -2 station?
Correct Answer: B
Rationale: 2 cm dilation, 60% effacement, and -2 station indicate the fetus is 2 cm above the ischial spines.
Extract:
Client at 38 weeks pregnant monitored for pre-eclampsia with sudden continuous abdominal pain and vaginal bleeding.
Question 3 of 5
A client who is 38 weeks pregnant is being monitored for pre-eclampsia. She suddenly complains of continuous abdominal pain and vaginal bleeding. Which of the following nursing interventions should not be included in the care of this client?
Correct Answer: A
Rationale: Reassuring vaginal delivery is inappropriate as complications like placental abruption may require cesarean delivery.
Extract:
Client with type 1 diabetes mellitus seeking preconception counseling with high HgbA1c.
Question 4 of 5
A client with type 1 diabetes mellitus is seeking preconception counseling. She has a high glycosylated hemoglobin (HgbA1c). Before trying to become pregnant, she is strongly encouraged to stabilize her blood glucose to reduce the possibility of her baby developing which of the following?
Correct Answer: A
Rationale: High maternal glucose levels increase the risk of congenital heart defects in the fetus.
Extract:
Client gravida 2, para 1, at 4-5 cm dilation requesting pain medication.
Question 5 of 5
The nurse is caring for a client that is Gravida 2, Para 1 admitted at 4-5 cm cervical dilation and is requesting pain medication. Which of the following is the most appropriate method of pain management at this time:
Correct Answer: D
Rationale: Epidural analgesia provides effective, continuous pain relief during active labor.