ATI RN
ATI NUR270A Maternity Exam Questions
Extract:
Multiparous woman at 5 cm dilated, 50% effaced, 1+ station, with urge to have a bowel movement.
Question 1 of 5
The nurse is in the process of admitting a multiparous woman to labor and delivery from the triage area. One hour ago her vaginal exam was 5 cm dilated, 50% effaced, 1+ station. While completing your review of her prenatal record and completing the admission Questionnaire, she tells you she has an urge to have a bowel movement. The priority nursing intervention is to:
Correct Answer: D
Rationale: The urge to have a bowel movement suggests imminent delivery, requiring a vaginal exam to assess labor progress.
Extract:
34-year-old female, gravida 4, para 3, at 34 weeks gestation with preeclampsia, managed with labetalol.
Question 2 of 5
A nurse is caring for a 34-year-old female client who is at 34 weeks of gestation and has been admitted to the antepartum unit for preeclampsia management. Review the findings below and identify if each item is normal or abnormal for a client at 34 weeks of gestation with preeclampsia.
| Finding | Normal | Abnormal |
|---|---|---|
| Blood pressure 160/105 mm Hg: Abnormal | ||
| Reflexes 3+: Abnormal | ||
| Platelet count 140,000/mm³: Abnormal | ||
| Temperature 37.2°C: Normal | ||
| Oxygen saturation 97%: Normal |
Correct Answer: A,B,C,D,E
Rationale: Elevated BP, hyperreflexia, and low platelets are abnormal in preeclampsia; normal temperature and oxygen saturation are expected.
Extract:
Client in second trimester with new diagnosis of gestational diabetes.
Question 3 of 5
A nurse in a prenatal clinic is teaching a client who is in her second trimester and has a new diagnosis of gestational diabetes. Which of the following statements by the client indicates that more teaching is needed?
Correct Answer: D
Rationale: Glyburide is not first-line for gestational diabetes; insulin is preferred, indicating a need for further teaching.
Extract:
Fetus with occiput facing left maternal spine, mother with back labor pain.
Question 4 of 5
Using Leopold's Maneuvers, the fetus is found to be with its occiput facing toward the left maternal spine. The mother is complaining of increased back labor pain. The nurse knows that the fetus is in which position?
Correct Answer: C
Rationale: Left occiput posterior position causes back labor pain due to the occiput pressing against the maternal spine.
Extract:
Question 5 of 5
The RN interprets the following external fetal monitoring strip as:
Correct Answer: C
Rationale: Umbilical cord prolapse is indicated by sudden severe variable decelerations, requiring urgent intervention to prevent fetal hypoxia.