ATI RN
ATI Maternity Exam 3 Questions
Extract:
A woman with a history of crack cocaine use admitted to the Labor and Birthing Unit with fetal bradycardia, acute abdominal pain, and dark red vaginal bleeding.
Question 1 of 5
A woman with a history of crack cocaine use is admitted to the Labor and Birthing Unit. While caring for the patient, the nurse notes a sudden onset of fetal bradycardia. The patient also complains of acute abdominal pain that is continuous and she has dark red vaginal bleeding. Which of the following would the nurse suspect?
Correct Answer: B
Rationale: These symptoms suggest placental abruption, exacerbated by cocaine use, causing fetal distress and maternal hemorrhage, unlike the other conditions which present differently.
Extract:
A client during a nonstress test (NST)
Question 2 of 5
A nurse is caring for a client during a nonstress test (NST). At the end of a 30-min period of observation, the nurse notes the following findings: The fetal heart rate baseline is 120/min with minimal variability and no accelerations. There are two decelerations of 15/min in the fetal heart rate during a period of fetal movement, each lasting 20 seconds. Which of the following interpretations of these findings should the nurse make?
Correct Answer: D
Rationale: No accelerations and minimal variability indicate a nonreactive NST, suggesting potential fetal compromise needing further evaluation. Reactive tests require accelerations; negative/positive aren't NST terms.
Extract:
A newborn with bluish markings across the lower back.
Question 3 of 5
During a physical assessment of a newborn, the nurse observes bluish markings across the newborn's lower back. The nurse interprets this finding as:
Correct Answer: B
Rationale: Dermal melanosis (Mongolian spots) are benign bluish patches common in certain ethnic groups, unlike milia, stork bites, or trauma-related marks.
Extract:
A woman with pre-existing diabetes.
Question 4 of 5
If a woman has a pre-existing condition of diabetes, the nurse knows that she would be at risk for what symptom(s) during her pregnancy?
Correct Answer: A
Rationale: Diabetes increases risks of glucose fluctuations, affecting maternal and fetal health, unlike hemorrhage, stroke, or vasospasm which are less directly related.
Extract:
A client who is at 40 weeks gestation and is lying supine while in active labor
Question 5 of 5
A nurse is caring for a client who is at 40 weeks gestation and is lying supine while in active labor. The client has 6 cm of cervical dilation and 100% cervical effacement. The nurse obtains the client's blood pressure reading as 82/52 mm Hg. Which of the following nursing interventions should the nurse perform?
Correct Answer: C
Rationale: Supine hypotension from vena cava compression causes low blood pressure; turning to the side restores blood flow. Upright positioning, cesarean, or delivery prep are inappropriate.