Questions 46

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ATI RN Test Bank

ATI OB Obstetrics RN 300 Exam Questions

Extract:

A nurse is caring for several clients.


Question 1 of 5

The nurse should recognize that it is safe to administer tocolytic therapy to which of the following clients?

Correct Answer: C

Rationale:
Tocolytics are used to delay preterm labor before 34 weeks to improve fetal outcomes, making the 26-week client appropriate for therapy.

Extract:

A nurse receives a report about a client who is in labor and is having contractions 3 min apart.


Question 2 of 5

Which of the following patterns should the nurse expect on the fetal monitoring tracing?

Correct Answer: A

Rationale: Contractions 3 minutes apart with 60-second duration leave a 2-minute rest period, consistent with active labor.

Extract:

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


Question 3 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 providing teaching to a client who is at 30 weeks of gestation and is to have a nonstress test (NST).


Question 4 of 5

Which of the following statements by the client indicates a need for further teaching?

Correct Answer: B

Rationale: Lying on the back can cause supine hypotension; the client should be in a semi-Fowler's or lateral position during an NST.

Extract:

The home care nurse visits a pregnant client who has a diagnosis of mild preeclampsia.


Question 5 of 5

Which assessment finding indicates a worsening of the preeclampsia and the need to notify the primary health care provider (PHCP)?

Correct Answer: D

Rationale: Headache and blurred vision indicate severe preeclampsia, possibly due to cerebral edema, requiring immediate medical attention.

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