ATI RN
ATI NUR270A Maternity Exam Questions
Extract:
Client gravida 2, para 1, at 4-5 cm dilation requesting pain medication.
Question 1 of 5
The nurse is caring for a client that is Gravida 2, Para 1 admitted at 4-5 cm cervical dilation and is requesting pain medication. Which of the following is the most appropriate method of pain management at this time:
Correct Answer: D
Rationale: Epidural analgesia provides effective, continuous pain relief during active labor.
Extract:
Question 2 of 5
The nurse is aware that which of the following magnesium sulfate levels should be reported to the MD and is most likely to result in toxicity?
Correct Answer: B
Rationale: A magnesium sulfate level of 70 mEq/L is critically high, indicating toxicity risk.
Extract:
Primigravida dilated to 5 cm, received epidural, feeling lightheaded, BP 80/52.
Question 3 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:
Client at 38 weeks gestation with ruptured membranes, clear and odorless amniotic fluid.
Question 4 of 5
A nurse admits a woman who is 38 weeks gestation and has ruptured membranes. The nurse determines that the amniotic fluid is clear and odorless. Besides notifying the provider, which of the following is the appropriate first nursing action?
Correct Answer: D
Rationale: Checking temperature every 2 hours monitors for infection, a risk after membrane rupture.
Extract:
Client in prolonged labor with severe backache.
Question 5 of 5
A nurse on the labor and delivery unit is caring for a client who is having a difficult, prolonged labor with severe backache. Which of the following interventions should the nurse assist with?
Correct Answer: C
Rationale: Counterpressure to the sacrum relieves back pain, especially in occiput posterior positions.