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:
Clients who are in their first trimester
Question 2 of 5
A nurse is teaching a group of clients who are in their first trimester about exercise during pregnancy. Which of the following statements should the nurse include in the teaching?
Correct Answer: B
Rationale: Moderate exercise improves circulation, reduces swelling, and prevents varicose veins during pregnancy. Weightbearing exercises increase injury risk, resting 30 minutes before exercise is unnecessary, and stretching helps flexibility and reduces cramps.
Extract:
A patient who is having induction of labor with oxytocin administered through a secondary IV line
Question 3 of 5
A nurse on the labor and delivery unit is caring for a patient who is having induction of labor with oxytocin administered through a secondary IV line. Uterine contractions occur every 2 minutes, last 90 seconds, and are strong to palpation. The baseline fetal heart rate is 150/minute, with uniform decelerations beginning at the peak of the contraction and a return to baseline after the contraction is over. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Discontinuing oxytocin stops uterine hyperstimulation, indicated by frequent, prolonged contractions and late decelerations, to prevent fetal hypoxia. Increasing oxytocin worsens distress, IV fluid rate doesn't address the issue, and breathing rate is unrelated.
Extract:
A client who is at 12 weeks of gestation
Question 4 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 woman who is contemplating pregnancy
Question 5 of 5
A nurse is instructing a woman who is contemplating pregnancy about nutritional needs. To reduce the risk of giving birth to a newborn who has a neural tube defect, which of the following information should the nurse include in the teaching?
Correct Answer: C
Rationale: Folic acid supplementation before and during early pregnancy significantly reduces neural tube defect risk. Iron supports overall health, alcohol avoidance prevents other issues, and aspartame isn't linked to neural tube defects.