ATI RN
ATI NUR270A Maternity Exam Questions
Extract:
Fetus with occiput facing left maternal spine, mother with back labor pain.
Question 1 of 5
Using Leopold's Maneuvers, the fetus is found to be with its occiput facing toward the left maternal spine. The mother is complaining of increased back labor pain. The nurse knows that the fetus is in which position?
Correct Answer: C
Rationale: Left occiput posterior position causes back labor pain due to the occiput pressing against the maternal spine.
Extract:
Client in labor, 2 cm dilated, 60% effaced, -2 station.
Question 2 of 5
A client arrives in labor and delivery, and the L&D primary nurse gets a report from the L&D triage nurse. How does the primary nurse interpret the following information on the client's labor: 2 cm, 60%, and -2 station?
Correct Answer: B
Rationale: 2 cm dilation, 60% effacement, and -2 station indicate the fetus is 2 cm above the ischial spines.
Extract:
Newborn weighing 4300 grams receiving ampicillin.
Question 3 of 5
A newborn who weighs 4300 grams is receiving ampicillin 2mg/kg IV once per day. The vial reads 20mg/mL. How much will the nurse draw up in the syringe for one dose?
Correct Answer: A
Rationale: Calculation: 4300 g = 4.3 kg; 4.3 kg x 2 mg/kg = 8.6 mg; 8.6 mg / 20 mg/mL = 0.43 mL.
Extract:
Client in prolonged labor with severe backache.
Question 4 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:
34-year-old female, gravida 2, para 1, at 34 weeks gestation with gestational diabetes, clear fluid leakage, mild cramping.
Question 5 of 5
A nurse is caring for a 34-year-old female client who is at 34 weeks of gestation in the antepartum unit. Select a potential condition, parameters to monitor and actions to take.
Correct Answer: A
Rationale: PPROM is indicated by fluid leakage and confirmed by ferning; monitor infection signs and blood pressure, administer antibiotics, and educate on kick counts.