Questions 119

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ATI Maternity Exam 3 Questions

Extract:

Obstetrical risks for a pregnant teenager.


Question 1 of 5

Obstetrical risks to consider for a pregnant teenager would be all of the following, EXCEPT:

Correct Answer: A

Rationale: Teenage pregnancy is not typically associated with macrosomia, which is linked to maternal diabetes or obesity, unlike preeclampsia, poor nutrition, and cephalopelvic disproportion, which are common risks.

Extract:

A client who is at 22 weeks of gestation


Question 2 of 5

A nurse is preparing to measure the fundal height of a client who is at 22 weeks of gestation. At which location should the nurse expect to palpate the fundus?

Correct Answer: C

Rationale: At 22 weeks, the fundus is approximately 2 cm above the umbilicus, aligning with gestational age progression. Other locations are incorrect for this stage.

Extract:

A client who is in active labor and notes late decelerations in the FHR


Question 3 of 5

A nurse is caring for a client who is in active labor and notes late decelerations in the FHR. Which of the following actions should the nurse take first?

Correct Answer: A

Rationale: Left lateral positioning improves uteroplacental blood flow to address late decelerations from insufficiency. Oxygen, scalp electrodes, and IV fluids are secondary steps.

Extract:

A client who is in active labor when the client's membranes rupture


Question 4 of 5

A nurse is caring for a client who is in active labor when the client's membranes rupture. The fetal monitor tracing shows late decelerations. Which of the following actions should the nurse take first?

Correct Answer: A

Rationale: Turning to the side relieves vena cava compression, improving blood flow to address late decelerations. IV fluids, oxygen, and palpation are secondary actions.

Extract:

To prevent late postpartum hemorrhage.


Question 5 of 5

Which of the following would be essential to implement to prevent late postpartum hemorrhage?

Correct Answer: A

Rationale: Inspecting the placenta ensures no fragments remain, preventing late hemorrhage, unlike risky manual removal, unnecessary antibiotics, or early-stage traction.

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