ATI RN
ATI OB Obstetrics RN 300 Exam Questions
Extract:
A nurse is teaching a client who is at 15 weeks of gestation and is to undergo an amniocentesis.
Question 1 of 5
The nurse should explain that the purpose of this test is to identify which of the following conditions? Select all that apply.
Correct Answer: A,B,D,E
Rationale: Amniocentesis at 15 weeks detects chromosomal anomalies, neural tube defects, fetal gender for sex-linked disorders, and Rh incompatibility effects.
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 in a prenatal clinic is caring for a client who is at 38 weeks of gestation and reports heavy, red vaginal bleeding. The bleeding started spontaneously in the morning and is not accompanied by contractions. The client is not in distress and she states that she can 'feel the baby moving.' An ultrasound is scheduled STAT.
Question 3 of 5
The nurse should explain to the client that the purpose of the ultrasound is to determine which of the following?
Correct Answer: C
Rationale: Ultrasound is used to identify placenta previa or abruption, common causes of third-trimester bleeding, by determining placental location.
Extract:
A nurse in a prenatal clinic is instructing a client about an amniocentesis, which is scheduled at 15 weeks of gestation.
Question 4 of 5
Which of the following should be included in the teaching?
Correct Answer: B
Rationale: Amniocentesis requires amniotic fluid for sampling to assess genetic or fetal conditions, performed at 15 weeks for chromosomal testing.
Extract:
During labor.
Question 5 of 5
Which of the following is a characteristic of early decelerations in fetal heart rate?
Correct Answer: A
Rationale: Early decelerations, caused by fetal head compression, are benign and show a gradual FHR decrease mirroring contractions.