ATI RN
ATI OB Obstetrics RN 300 Exam Questions
Extract:
A nurse is caring for a client who is in labor and has an external fetal monitor. The nurse observes late decelerations on the monitor strip.
Question 1 of 5
The nurse interprets them as indicating which of the following?
Correct Answer: C
Rationale: Late decelerations are caused by uteroplacental insufficiency, reducing fetal oxygenation due to poor placental perfusion.
Extract:
A nurse in the labor and delivery unit is caring for a client who is undergoing external fetal monitoring. The nurse observes that the fetal heart rate begins to slow after the start of a contraction and the lowest rate occurs after the peak of the contraction.
Question 2 of 5
Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: Late decelerations indicate uteroplacental insufficiency. Repositioning to the lateral position improves placental blood flow, making it the first action.
Extract:
A nurse is caring for a client who is at 22 weeks of gestation and has been unable to control her gestational diabetes mellitus with diet and exercise.
Question 3 of 5
The nurse should anticipate a prescription from the provider for which of the following medications for the client?
Correct Answer: B
Rationale: Insulin is the preferred treatment for uncontrolled gestational diabetes, as it is safe and does not cross the placenta.
Extract:
A nurse is caring for an adolescent client who is gravida 1 and para 0. The client was admitted to the hospital at 38 weeks of gestation with a diagnosis of preeclampsia.
Question 4 of 5
Which of the following findings should the nurse identify as inconsistent with preeclampsia?
Correct Answer: D
Rationale: Preeclampsia is characterized by hyperreflexia (+3 or +4). A +1 reflex is diminished and inconsistent with preeclampsia, suggesting possible magnesium toxicity or another condition.
Extract:
In labor, GPTAL is used to assess the client's obstetric history.
Question 5 of 5
What does the 'P' in GPTAL stand for?
Correct Answer: A
Rationale: In GPTAL, 'P' stands for parity, the number of pregnancies carried to 20 weeks or beyond, regardless of outcome.