ATI RN
Custom ATI Maternity Final 2023 Questions
Extract:
A client who is in labor.
Question 1 of 5
Which of the following findings should the nurse report to the provider?
Correct Answer: B
Rationale: This statement is true. Fetal heart rate 100/min for a 10-minute period is an abnormal finding for a client who is in labor. It indicates that the fetus is bradycardic, which means the heart rate is below the normal range of 110 to 160/min. This can be a sign of fetal distress, hypoxia, or cord compression. The nurse should report this finding to the provider and intervene to improve the fetal oxygenation and circulation.
Extract:
A client who is at 6 weeks of gestation. The client tells the nurse that she smokes one pack of cigarettes per day.
Question 2 of 5
The nurse should instruct the client that her newborn is at increased risk for which of the following clinical manifestations?
Correct Answer: D
Rationale: This statement is correct. Low birth weight is a common and serious effect of smoking during pregnancy. Smoking during pregnancy can reduce the amount of oxygen and nutrients that reach the fetus, and cause tissue damage in the fetus, especially in the lungs and brain.
Extract:
A client who is at 28 weeks of gestation and has gestational diabetes. The nurse notes that blood glucose levels taken 1 hr following a meal range from 145 mg/dL to 162 mg/dL over the past week.
Question 3 of 5
Which of the following actions should the nurse take?
Correct Answer: B
Rationale: This statement is correct. Reinforcing instruction about insulin administration is an appropriate action for the nurse to take. The client's blood glucose levels are above the target range of 95 mg/dL before meals and 140 mg/dL 1 hr after meals. This indicates that the client may need more insulin or better adherence to the prescribed regimen.
Extract:
A client who is at 36 weeks of gestation and has suspected placenta previa.
Question 4 of 5
For which of the following findings should the nurse monitor the client?
Correct Answer: C
Rationale: This statement is true. A large amount of bright red vaginal bleeding without pain is the hallmark sign of placenta previa. It occurs when the placenta implants over or near the cervical os and covers part or all of the opening. The bleeding can be triggered by cervical dilation, contractions, or sexual intercourse.
Extract:
A client who is at 34 weeks of gestation and at risk for placental abruption.
Question 5 of 5
The nurse recognizes that which of the following is the most common risk factor for a placental abruption?
Correct Answer: C
Rationale: This statement is correct. Maternal hypertension is the most common risk factor for placental abruption, accounting for about 44% of cases. Hypertension during pregnancy can cause damage to the blood vessels in the placenta, resulting in placental infarction and detachment.