ATI RN
ATI Maternity Exam 3 Questions
Extract:
An adolescent patient at 20 weeks gestation with weight loss from 110 to 106 pounds.
Question 1 of 5
An adolescent patient at 20 weeks gestation states that it is important not to have a baby that weighs too much. She states this has been her rationale for limiting calories. Her weight has decreased from 110 pounds to 106 pounds. What would be the best nursing response?
Correct Answer: C
Rationale: Educating about the need for nutrition supports fetal health without judgment, unlike the other responses which dismiss concerns or blame.
Extract:
A woman at 32 weeks' gestation with a fundal height measurement of 26 centimeters.
Question 2 of 5
A woman is at 32 weeks' gestation. Her fundal height measurement at this clinic appointment is 26 centimeters. After reviewing her ultrasound results, the health care provider asks the nurse to schedule the client for a series of ultrasounds to be done every 2 weeks. The nurse should ensure that the client understands that the main purpose for this is to:
Correct Answer: D
Rationale: A smaller-than-expected fundal height suggests possible growth restriction, necessitating ultrasounds to monitor fetal growth, unlike the other options which are less relevant.
Extract:
A client with insulin-dependent type 2 diabetes and an HbA1c of 6.0% planning pregnancy.
Question 3 of 5
A client with insulin-dependent type 2 diabetes and an HbA1c of 6.0% is planning to become pregnant soon. What anticipatory teaching should the nurse provide this client?
Correct Answer: A
Rationale: Insulin needs shift due to hormonal changes, unlike incorrect claims about vascular disease, ketoacidosis, or congenital risks with controlled diabetes.
Extract:
A client who is in active labor and notes late decelerations on the fetal monitor
Question 4 of 5
A nurse is caring for a client who is in active labor and notes late decelerations on the fetal monitor. Which of the following is the priority nursing action?
Correct Answer: A
Rationale: Positioning on the side improves uteroplacental blood flow, addressing late decelerations caused by insufficiency. Leg elevation, IV fluids, and oxygen are secondary actions.
Extract:
A client during the first prenatal visit
Question 5 of 5
A nurse is providing dietary education to a client during the first prenatal visit. Which of the following statements by the client should indicate to the nurse a need for clarification?
Correct Answer: D
Rationale: Some fish high in mercury are unsafe in pregnancy, requiring clarification. Avoiding alcohol, 2 liters of fluid, and moderate caffeine are correct.