ATI RN
ATI OB Obstetrics RN 300 Exam Questions
Extract:
A nurse is caring for a group of clients on an intrapartum unit.
Question 1 of 5
Which of the following findings should be reported to the provider immediately?
Correct Answer: C
Rationale: Epigastric pain and persistent headache in preeclampsia indicate possible hepatic involvement or impending eclampsia, requiring immediate intervention to prevent seizures or organ failure.
Extract:
A nurse is admitting a client who has severe preeclampsia at 35 weeks of gestation and is reviewing the provider's orders.
Question 2 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:
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 3 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 4 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 in a prenatal clinic is caring for a client who is at 38 weeks of gestation and reports heavy, red vaginal bleeding. The bleeding started spontaneously in the morning and is not accompanied by contractions. The client is not in distress and she states that she can 'feel the baby moving.' An ultrasound is scheduled STAT.
Question 5 of 5
The nurse should explain to the client that the purpose of the ultrasound is to determine which of the following?
Correct Answer: C
Rationale: Ultrasound is used to identify placenta previa or abruption, common causes of third-trimester bleeding, by determining placental location.