Questions 46

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ATI RN Test Bank

ATI OB Obstetrics RN 300 Exam Questions

Extract:

A nurse is caring for a client who is scheduled for a maternal serum alpha-fetoprotein test at 15 weeks of gestation.


Question 1 of 5

The nurse provides which of the following explanations about this test to the client?

Correct Answer: D

Rationale: MSAFP screens for neural tube defects (e.g., spina bifida) and chromosomal abnormalities, typically performed at 15-20 weeks.

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 2 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:


Question 3 of 5

Which of the following is a primary indication for performing a nonstress test during pregnancy?

Correct Answer: D

Rationale: Nonstress tests assess fetal well-being, particularly in conditions like fetal growth restriction, by monitoring heart rate responses to movement.

Extract:

A nurse is admitting a client who has severe preeclampsia at 35 weeks of gestation and is reviewing the provider's orders.


Question 4 of 5

Which of the following orders requires clarification?

Correct Answer: C

Rationale: Ambulation is contraindicated in severe preeclampsia due to risks of seizures and hypertensive crises; bed rest is typically ordered.

Extract:

A nurse in a provider's office is caring for a client who is at 36 weeks of gestation and scheduled for an amniocentesis.


Question 5 of 5

The client asks why she is having an ultrasound prior to the procedure. Which of the following is an appropriate response by the nurse?

Correct Answer: D

Rationale: Ultrasound guides amniocentesis by identifying the placenta and fetus to ensure safe needle placement.

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