ATI RN
ATI Maternity Exam 3 Questions
Extract:
A pregnant woman with a pigmented vertical line between the umbilicus and pubis.
Question 1 of 5
Assessment of a pregnant woman reveals a pigmented vertical line between the umbilicus and the pubis. The nurse documents this finding as:
Correct Answer: B
Rationale: Linea nigra is the pigmented abdominal line caused by melanin in pregnancy, unlike vascular, facial, or stretch mark changes.
Extract:
A couple has had difficulty conceiving.
Question 2 of 5
A couple who has had difficulty conceiving confides in the nurse at the infertility clinic that they feel overwhelmed with the decisions that face them. Which of the following nursing strategies would be most appropriate and therapeutic?
Correct Answer: A
Rationale: Providing information and support empowers the couple to make informed choices, fostering autonomy, while other options dismiss their concerns or impose solutions.
Extract:
A client who has a new prescription for dinoprostone (Cervidil) gel
Question 3 of 5
A nurse in a prenatal clinic is teaching a client who has a new prescription for dinoprostone (Cervidil) gel. Which of the following statements should the nurse include in the teaching?
Correct Answer: D
Rationale: Dinoprostone ripens the cervix for labor induction. It's not for herpes, uterine relaxation, or preeclampsia treatment.
Extract:
A patient who is having induction of labor with oxytocin administered through a secondary IV line
Question 4 of 5
A nurse on the labor and delivery unit is caring for a patient who is having induction of labor with oxytocin administered through a secondary IV line. Uterine contractions occur every 2 minutes, last 90 seconds, and are strong to palpation. The baseline fetal heart rate is 150/minute, with uniform decelerations beginning at the peak of the contraction and a return to baseline after the contraction is over. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Discontinuing oxytocin stops uterine hyperstimulation, indicated by frequent, prolonged contractions and late decelerations, to prevent fetal hypoxia. Increasing oxytocin worsens distress, IV fluid rate doesn't address the issue, and breathing rate is unrelated.
Extract:
A client who smokes one pack of cigarettes per day at 6 weeks of gestation
Question 5 of 5
A nurse is completing a health history for a client who is at 6 weeks of gestation. The client informs the nurse that she smokes one pack of cigarettes per day. The nurse should advise the client that smoking places the client's newborn at risk for which of the following complications?
Correct Answer: D
Rationale: Smoking reduces placental blood flow, causing intrauterine growth restriction. It's not strongly linked to type 1 diabetes, hearing loss, or heart defects in this context.