ATI RN
ATI OB Obstetrics RN 300 Exam Questions
Extract:
In labor, GPTAL is used to assess the client's obstetric history.
Question 1 of 5
What does the 'P' in GPTAL stand for?
Correct Answer: A
Rationale: In GPTAL, 'P' stands for parity, the number of pregnancies carried to 20 weeks or beyond, regardless of outcome.
Extract:
A nurse is caring for a client who is scheduled for a maternal serum alpha-fetoprotein test at 15 weeks of gestation.
Question 2 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:
When interpreting fetal heart rate patterns.
Question 3 of 5
What other information is considered in addition to baseline and variability?
Correct Answer: C
Rationale: Uterine contractions affect placental perfusion, influencing fetal heart rate patterns, and are critical for interpreting decelerations and assessing fetal well-being.
Extract:
A nurse is caring for a client who has preeclampsia and is being treated with magnesium sulfate IV. The client's respiratory rate is 10/min and deep-tendon reflexes are absent.
Question 4 of 5
Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Absent reflexes and respiratory rate <12/min indicate magnesium toxicity, requiring immediate discontinuation of the infusion to prevent further complications.
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 5 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.