ATI RN
ATI NUR270A Maternity Exam Questions
Extract:
Client at 25 weeks gestation in preterm labor with pre-eclampsia, receiving Nifedipine and magnesium sulfate.
Question 1 of 5
The client at 25 weeks gestation in preterm labor has developed pre-eclampsia. After receiving Nifedipine to stop her contractions, she is started on magnesium sulfate to control her pre-eclampsia. When assessing the client, which findings by the nurse indicate that the client is experiencing an adverse effect from the magnesium sulfate? (Select all that apply).
Correct Answer: A,F,G
Rationale: Respiratory depression, confusion, and oliguria are signs of magnesium sulfate toxicity.
Extract:
Primigravida dilated to 5 cm, received epidural, feeling lightheaded, BP 80/52.
Question 2 of 5
A primigravida dilated to 5 cm has just received an epidural for pain. She complains of feeling lightheaded and dizzy within 10 minutes after the procedure. Her blood pressure before the procedure was 120/80 and is now 80/52. Which of the following medications is used in this situation?
Correct Answer: D
Rationale: Ephedrine treats epidural-induced hypotension by increasing blood pressure.
Extract:
Question 3 of 5
The nurse knows that a diagnosis for gestational diabetes can be determined with which lab values?
Correct Answer: D
Rationale: Elevated 3-hour glucose tolerance test values (e.g., 190 mg/dL) confirm gestational diabetes.
Extract:
Client in labor, 2 cm dilated, 60% effaced, -2 station.
Question 4 of 5
A client arrives in labor and delivery, and the L&D primary nurse gets a report from the L&D triage nurse. How does the primary nurse interpret the following information on the client's labor: 2 cm, 60%, and -2 station?
Correct Answer: B
Rationale: 2 cm dilation, 60% effacement, and -2 station indicate the fetus is 2 cm above the ischial spines.
Extract:
Primigravida discussing labor and delivery during a prenatal visit.
Question 5 of 5
While discussing labor and delivery during a prenatal visit, a primigravida asks the nurse when she should go to the hospital. The nurse's teaching was effective when the patient states that she will come when she:
Correct Answer: B
Rationale: Ruptured membranes signal potential labor onset or infection risk, necessitating hospital evaluation.