ATI RN
ATI OB Obstetrics RN 300 Exam Questions
Extract:
A nurse is assessing a client who is receiving magnesium sulfate as a treatment for preeclampsia.
Question 1 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 in the first stage of labor, undergoing external fetal monitoring, and receiving IV fluid. The nurse observes variable decelerations in the fetal heart rate on the monitor strip.
Question 2 of 5
Which of the following is a correct interpretation of this finding?
Correct Answer: A
Rationale: Variable decelerations are abrupt drops in FHR caused by umbilical cord compression, disrupting fetal oxygenation.
Extract:
Question 3 of 5
What is the primary purpose of using terbutaline in labor for intrauterine resuscitation?
Correct Answer: B
Rationale: Terbutaline, a tocolytic, relaxes the uterus, reducing contractions to improve placental blood flow during fetal distress.
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 4 of 5
Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: Late decelerations indicate uteroplacental insufficiency. Repositioning to the lateral position improves placental blood flow, making it the first action.
Extract:
A nurse in a prenatal clinic is instructing a client about an amniocentesis, which is scheduled at 15 weeks of gestation.
Question 5 of 5
Which of the following should be included in the teaching?
Correct Answer: B
Rationale: Amniocentesis requires amniotic fluid for sampling to assess genetic or fetal conditions, performed at 15 weeks for chromosomal testing.