ATI RN
ATI Maternity Exam 3 Questions
Extract:
A patient experiencing fetal heart rate decelerations with an ordered amnioinfusion.
Question 1 of 5
The patient is having fetal heart rate decelerations. An amnioinfusion has been ordered for the patient to alleviate the decelerations. The nurse understands that the type of decelerations that will be alleviated by amnioinfusion is:
Correct Answer: C
Rationale: Amnioinfusion relieves variable decelerations by cushioning the umbilical cord, reducing compression, unlike late or early decelerations which have different causes.
Extract:
A client who is at 12 weeks of gestation
Question 2 of 5
A nurse is providing teaching about expected gestational changes to a client who is at 12 weeks of gestation. Which of the following statements by the client indicates a need for further teaching?
Correct Answer: B
Rationale: Nonprescription medications may harm the fetus, requiring healthcare provider consultation, indicating a need for further teaching. Monitoring weight, consulting on remedies, and reducing stress are appropriate.
Extract:
A client who is having a difficult, prolonged labor with severe backache
Question 3 of 5
A nurse on the labor and delivery unit is caring for a client who is having a difficult, prolonged labor with severe backache. Which of the following contributing causes should the nurse identify?
Correct Answer: A
Rationale: Persistent occiput posterior position causes back pain and prolonged labor due to poor alignment. Flexion, longitudinal lie, and gynecoid pelvis are normal and not causative.
Extract:
An adolescent patient at 20 weeks gestation with weight loss from 110 to 106 pounds.
Question 4 of 5
An adolescent patient at 20 weeks gestation states that it is important not to have a baby that weighs too much. She states this has been her rationale for limiting calories. Her weight has decreased from 110 pounds to 106 pounds. What would be the best nursing response?
Correct Answer: C
Rationale: Educating about the need for nutrition supports fetal health without judgment, unlike the other responses which dismiss concerns or blame.
Extract:
A pregnant woman at her first prenatal visit with a softened cervix.
Question 5 of 5
On the first prenatal visit, the woman's cervix feels softened upon examination. The nurse records this finding as:
Correct Answer: C
Rationale: Goodell's sign is cervical softening due to pregnancy-related vascularity, unlike Homans' (thrombosis), Chadwick's (color change), or McDonald's (uterine flexing).