ATI RN
ATI NUR270A Maternity Exam Questions
Extract:
Primigravida dilated to 5 cm receiving epidural.
Question 1 of 5
A primigravida dilated to 5 cm will receive an epidural for pain. Which of the following interventions will help prevent hypotension in the patient?
Correct Answer: D
Rationale: A saline bolus increases intravascular volume, counteracting epidural-induced hypotension.
Extract:
Client in active labor with persistent late decelerations.
Question 2 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:
Client gravida 3, para 2, in active labor, fetal head at +5 station.
Question 3 of 5
A nurse is caring for a client who is gravida 3, para 2, and is in active labor. The fetal head is at 5+ station after a vaginal examination. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: At +5 station, delivery is imminent, and checking for a nuchal cord is critical to ensure safe 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:
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.