ATI RN
ATI NUR270A Maternity Exam Questions
Extract:
Question 1 of 5
The RN interprets the following external fetal monitoring strip as:
Correct Answer: C
Rationale: Umbilical cord prolapse is indicated by sudden severe variable decelerations, requiring urgent intervention to prevent fetal hypoxia.
Extract:
Client in prolonged labor with severe backache.
Question 2 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 interventions should the nurse assist with?
Correct Answer: C
Rationale: Counterpressure to the sacrum relieves back pain, especially in occiput posterior positions.
Extract:
Client at 38 weeks gestation with ruptured membranes, clear and odorless amniotic fluid.
Question 3 of 5
A nurse admits a woman who is 38 weeks gestation and has ruptured membranes. The nurse determines that the amniotic fluid is clear and odorless. Besides notifying the provider, which of the following is the appropriate first nursing action?
Correct Answer: D
Rationale: Checking temperature every 2 hours monitors for infection, a risk after membrane rupture.
Extract:
3800 gram newborn with meconium aspiration.
Question 4 of 5
A 3800 gram newborn was admitted to the neonatal intensive care unit at 39 weeks with meconium aspiration. Metoclopramide 0.1 mg/kg every 12 hours was started. On hand is Metoclopramide 0.5 mg/ml. What is the appropriate dose the RN will administer in ml in 12 hours?
Correct Answer: A
Rationale: Calculation: 3800 g = 3.8 kg; 3.8 kg x 0.1 mg/kg = 0.38 mg; 0.38 mg / 0.5 mg/mL = 0.76 mL.
Extract:
Client gravida 2, para 1, at 4-5 cm dilation requesting pain medication.
Question 5 of 5
The nurse is caring for a client that is Gravida 2, Para 1 admitted at 4-5 cm cervical dilation and is requesting pain medication. Which of the following is the most appropriate method of pain management at this time:
Correct Answer: D
Rationale: Epidural analgesia provides effective, continuous pain relief during active labor.