ATI RN
ATI Maternity Exam 3 Questions
Extract:
A postpartum client approximately 6 hours after delivery.
Question 1 of 5
When the nurse is assessing a postpartum client approximately 6 hours after delivery, which finding would warrant further investigation?
Correct Answer: D
Rationale: A heart rate of 115 suggests possible hemorrhage or dehydration, requiring further assessment, unlike normal postpartum findings like lochia or sweating.
Extract:
A client at the first prenatal visit who has a BMI of 26.5
Question 2 of 5
A nurse is caring for a client at the first prenatal visit who has a BMI of 26.5. The client asks how much weight she should gain during pregnancy. Which of the following responses should the nurse make?
Correct Answer: C
Rationale: For a BMI of 26.5 (overweight), 15-25 pounds is recommended. One pound per week is too vague, 11-20 pounds is insufficient, and 25-35 pounds is for normal BMI.
Extract:
A woman with pre-existing diabetes.
Question 3 of 5
If a woman has a pre-existing condition of diabetes, the nurse knows that she would be at risk for what symptom(s) during her pregnancy?
Correct Answer: A
Rationale: Diabetes increases risks of glucose fluctuations, affecting maternal and fetal health, unlike hemorrhage, stroke, or vasospasm which are less directly related.
Extract:
A client who smokes one pack of cigarettes per day at 6 weeks of gestation
Question 4 of 5
A nurse is completing a health history for a client who is at 6 weeks of gestation. The client informs the nurse that she smokes one pack of cigarettes per day. The nurse should advise the client that smoking places the client's newborn at risk for which of the following complications?
Correct Answer: D
Rationale: Smoking reduces placental blood flow, causing intrauterine growth restriction. It's not strongly linked to type 1 diabetes, hearing loss, or heart defects in this context.
Extract:
Clients who are pregnant
Question 5 of 5
A nurse in a clinic is reviewing the medical records of a group of clients who are pregnant. The nurse should anticipate the provider will order a maternal serum alpha-fetoprotein (MSAFP) screening for which of the following clients?
Correct Answer: A
Rationale: MSAFP screening is routine for all pregnant women at 15-20 weeks to detect neural tube defects and chromosomal issues, regardless of specific histories.