ATI RN
ATI OB Obstetrics RN 300 Exam Questions
Extract:
A nurse is caring for a client who is in active labor when the client's membranes rupture. The fetal monitor tracing shows late decelerations.
Question 1 of 5
Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: Late decelerations indicate uteroplacental insufficiency. Turning the client to her side improves placental perfusion, making it the first action.
Extract:
Question 2 of 5
What is an important factor to consider when analyzing labor progression?
Correct Answer: D
Rationale: Fetal size impacts labor progression, as a large fetus may cause cephalopelvic disproportion, slowing or arresting labor.
Extract:
A nurse is admitting a client who has severe preeclampsia at 35 weeks of gestation and is reviewing the provider's orders.
Question 3 of 5
Which of the following orders requires clarification?
Correct Answer: C
Rationale: Ambulation is contraindicated in severe preeclampsia due to risks of seizures and hypertensive crises; bed rest is typically ordered.
Extract:
In labor, GPTAL is used to assess the client's obstetric history.
Question 4 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:
Question 5 of 5
Which of the following is a sign that childbirth labor is likely to begin?
Correct Answer: A
Rationale: True labor is characterized by contractions that increase in frequency, duration, and intensity, leading to cervical changes.