ATI RN
ATI Maternity Exam 3 Questions
Extract:
Assessing the umbilical cord before applying a clamp.
Question 1 of 5
Before applying a cord clamp, the nurse assesses the umbilical cord for vessels. The nurse expects to find:
Correct Answer: A
Rationale: The umbilical cord normally has two arteries and one vein, ensuring proper fetal circulation, unlike abnormal variations in other options.
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 2 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 pregnant woman with a pigmented vertical line between the umbilicus and pubis.
Question 3 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:
The nurse is performing a newborn physical assessment.
Question 4 of 5
The nurse is performing a newborn physical assessment and is about to elicit the Moro reflex. Which of the following responses should the nurse expect to see?
Correct Answer: B
Rationale: The Moro reflex involves arm and leg extension then adduction when startled, indicating neurological health, unlike the other reflexes described.
Extract:
A laboring woman has a loop of pulsating cord in the vagina during a sterile vaginal exam.
Question 5 of 5
The nurse, working in labor and delivery, performs a sterile vaginal exam on a laboring woman. During the exam, she feels a loop of pulsating cord in the vagina. The nurse would anticipate:
Correct Answer: C
Rationale: A pulsating cord indicates prolapse, requiring immediate action to relieve compression via pressure on the presenting part and urgent cesarean delivery to prevent fetal hypoxia.