ATI RN
ATI Maternal Newborn Final Exam Questions
Extract:
A nurse in the labor and delivery unit is caring for a client who is undergoing external fetal monitoring. The nurse observes that the fetal heart rate begins to slow after the start of a contraction and the lowest rate occurs after the peak of the contraction.
Question 1 of 5
Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: Placing the client in the lateral position is the first action to take for late decelerations, as it improves uteroplacental blood flow by relieving pressure on the inferior vena cava, addressing the likely cause of compromised fetal oxygenation.
Extract:
A nurse is caring for a client who is in labor and has an epidural anesthesia block. The client's blood pressure is 80/40 mm Hg, and the fetal heart rate is 140/min.
Question 2 of 5
Which of the following is the priority nursing action?
Correct Answer: C
Rationale: Placing the client in a lateral position is the priority for hypotension post-epidural, improving venous return and uteroplacental perfusion, unlike leg elevation, notification, or monitoring.
Extract:
A nurse is caring for a client who is a primigravida, at term, and having contractions but is stating that she is 'not really sure if she is in labor or not.'
Question 3 of 5
Which of the following should the nurse recognize as a sign of true labor?
Correct Answer: D
Rationale: Cervical changes (effacement and dilation) are the most reliable sign of true labor, unlike contraction patterns, station, or membrane rupture, which are less definitive.
Extract:
A nurse is caring for a client who is in the first stage of labor. The nurse observes the umbilical cord protruding from the vagina.
Question 4 of 5
Which of the following actions should the nurse perform first?
Correct Answer: B
Rationale: Placing the client in the knee-chest position is the first action for cord prolapse, relieving pressure to restore fetal oxygenation, unlike covering, manual relief, or delivery prep.
Extract:
A nurse in a prenatal clinic is teaching a client who is in her second trimester and has a new diagnosis of gestational diabetes.
Question 5 of 5
Which of the following statements by the client indicates a need for further teaching?
Correct Answer: D
Rationale: Limiting carbohydrates to 50% is not a universal recommendation for gestational diabetes; individualized dietary plans are needed, unlike the accurate statements about exercise, diabetes risk, or glyburide.