ATI RN
ATI OB Obstetrics RN 300 Exam Questions
Extract:
A nurse is admitting a client who is at 37 weeks of gestation and has severe gestational hypertension.
Question 1 of 5
Which of the following actions should the nurse expect to implement? Select all that apply.
Correct Answer: A,B,C
Rationale: A dark, quiet environment reduces seizure risk, magnesium sulfate prevents seizures, and calcium gluconate is needed for potential magnesium toxicity.
Extract:
A nurse is observing the electronic fetal heart rate monitor tracing for a client who is at 40 weeks of gestation and is in labor.
Question 2 of 5
The nurse should suspect a problem with the umbilical cord when she observes which of the following patterns?
Correct Answer: C
Rationale: Variable decelerations are caused by umbilical cord compression, leading to abrupt FHR drops requiring intervention.
Extract:
The nurse in a health care clinic is instructing a pregnant client how to perform 'kick counts.'
Question 3 of 5
Which statement by the client indicates a need for further instruction?
Correct Answer: A
Rationale: Lying flat on the back can cause supine hypotension; the client should use a left lateral or semi-Fowler's position for kick counts.
Extract:
A nurse is assessing a client who is receiving magnesium sulfate as a treatment for preeclampsia.
Question 4 of 5
Which of the following clinical findings is the nurse's priority?
Correct Answer: A
Rationale: Oliguria (<30 mL/hr) indicates potential magnesium toxicity, which can lead to respiratory depression and cardiac arrest, making it the priority finding.
Extract:
A nurse is caring for a client who is scheduled for a maternal serum alpha-fetoprotein test at 15 weeks of gestation.
Question 5 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.