ATI RN
ATI OB Obstetrics RN 300 Exam Questions
Extract:
A nurse in a clinic is reviewing the medical records of a group of clients who are pregnant.
Question 1 of 5
The nurse should anticipate the provider will order a maternal serum alpha-fetoprotein (MSAFP) screening for which of the following clients?
Correct Answer: D
Rationale: MSAFP is a standard second-trimester screening for all pregnant clients to detect neural tube defects and chromosomal abnormalities.
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 2 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:
Question 3 of 5
What is the recommended antibiotic therapy for the treatment of pyelonephritis in pregnancy?
Correct Answer: B
Rationale: Ceftriaxone is safe and effective for pyelonephritis in pregnancy, targeting common uropathogens without fetal harm.
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 is observing the electronic fetal heart rate monitor tracing for a client who is at 40 weeks of gestation and is in labor.
Question 5 of 5
The nurse should suspect a problem with the umbilical cord when she observes which of the following patterns?
Correct Answer: C
Rationale: Variable decelerations are caused by umbilical cord compression, leading to abrupt FHR drops requiring intervention.