ATI RN
ATI OB Obstetrics RN 300 Exam Questions
Extract:
A nurse midwife is examining a client who is a primigravida at 42 weeks of gestation and states that she believes she is in labor.
Question 1 of 5
Which of the following findings confirm to the nurse that the client is in labor?
Correct Answer: D
Rationale: Cervical dilation is the definitive sign of true labor, indicating progressive uterine contractions causing cervical change.
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 2 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 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 3 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:
A nurse is caring for a client who has severe preeclampsia and is receiving magnesium sulfate IV at 2 g/hr.
Question 4 of 5
Which of the following findings indicates that it is safe for the nurse to continue the infusion?
Correct Answer: D
Rationale: A respiratory rate of 16/min indicates no respiratory depression, a key safety indicator for continuing magnesium sulfate infusion.
Extract:
A nurse is caring for a client who is at 22 weeks of gestation and has been unable to control her gestational diabetes mellitus with diet and exercise.
Question 5 of 5
The nurse should anticipate a prescription from the provider for which of the following medications for the client?
Correct Answer: B
Rationale: Insulin is the preferred treatment for uncontrolled gestational diabetes, as it is safe and does not cross the placenta.