ATI RN
ATI Maternity Exam 3 Questions
Extract:
A newborn with bluish markings across the lower back.
Question 1 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 patient experiencing fetal heart rate decelerations with an ordered amnioinfusion.
Question 2 of 5
The patient is having fetal heart rate decelerations. An amnioinfusion has been ordered for the patient to alleviate the decelerations. The nurse understands that the type of decelerations that will be alleviated by amnioinfusion is:
Correct Answer: C
Rationale: Amnioinfusion relieves variable decelerations by cushioning the umbilical cord, reducing compression, unlike late or early decelerations which have different causes.
Extract:
A client who is at 30 weeks of gestation
Question 3 of 5
A nurse is providing teaching to a client who is at 30 weeks of gestation and is to have a nonstress test (NST). Which of the following statements by the client indicates a need for further teaching?
Correct Answer: A
Rationale: Lying supine during an NST can compress the vena cava, reducing blood flow; a semi-reclined or lateral position is used. Heart rate monitoring, test duration, and active baby timing are correct.
Extract:
A client who is receiving epidural analgesia during labor
Question 4 of 5
A nurse is caring for a client who is receiving epidural analgesia during labor. Which of the following findings is the nurse's first priority?
Correct Answer: D
Rationale: Hypotension (80/52 mm Hg) from epidural vasodilation risks fetal oxygenation, making it the priority. Fever, numbness, and itching are less urgent.
Extract:
A client who is at 12 weeks of gestation
Question 5 of 5
A nurse is providing teaching about expected gestational changes to a client who is at 12 weeks of gestation. Which of the following statements by the client indicates a need for further teaching?
Correct Answer: B
Rationale: Nonprescription medications may harm the fetus, requiring healthcare provider consultation, indicating a need for further teaching. Monitoring weight, consulting on remedies, and reducing stress are appropriate.