ATI RN
ATI Maternity Exam 3 Questions
Extract:
A laboring client given narcotic analgesia at 10:00 a.m. with delivery at 10:35 a.m.
Question 1 of 5
Narcotic analgesia is administered to a laboring client at 10:00 a.m. The infant is delivered at 10:35 A.M. The nurse would anticipate that the narcotic analgesia could:
Correct Answer: C
Rationale: Narcotics given close to delivery can cross the placenta, causing neonatal respiratory depression due to limited clearance time, unlike the other incorrect effects.
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 client who is at 12 weeks gestation
Question 3 of 5
A nurse in a prenatal clinic is caring for a client who is at 12 weeks gestation. The client asks about the cause of her heartburn. Which of the following responses should the nurse make?
Correct Answer: D
Rationale: Progesterone relaxes the cardiac sphincter and slows gastric emptying, causing heartburn. Bile retention, estrogen, and uterine pressure are not primary causes.
Extract:
A pregnant woman at her first prenatal visit with a softened cervix.
Question 4 of 5
On the first prenatal visit, the woman's cervix feels softened upon examination. The nurse records this finding as:
Correct Answer: C
Rationale: Goodell's sign is cervical softening due to pregnancy-related vascularity, unlike Homans' (thrombosis), Chadwick's (color change), or McDonald's (uterine flexing).
Extract:
A client is breastfeeding her newborn.
Question 5 of 5
A client who is breastfeeding her newborn tells the nurse, 'I notice that when I feed him, I feel fairly strong contraction-like pain. Labor is over. Why am I having contractions now?' Which response by the nurse would be most appropriate?
Correct Answer: D
Rationale: Breastfeeding stimulates oxytocin release, triggering uterine contractions to aid involution, a normal postpartum process, unlike the other options which suggest complications or irrelevant actions.