ATI RN
ATI Maternal Newborn Final Exam Questions
Extract:
A nurse is teaching a client who is at 23 weeks of gestation and will return to the facility in 2 days for an amniocentesis.
Question 1 of 5
Which of the following instructions should the nurse give the client?
Correct Answer: C
Rationale: Emptying the bladder before amniocentesis reduces the risk of puncture and improves ultrasound visualization, unlike fasting, bowel prep, or washing, which are not standard requirements.
Extract:
A nurse is preparing to administer magnesium sulfate IV to a client who is experiencing preterm labor.
Question 2 of 5
Which of the following is the priority nursing assessment for this client?
Correct Answer: D
Rationale: Fetal heart rate is the priority assessment during magnesium sulfate administration, as it directly indicates fetal distress, which could result from altered uterine perfusion.
Extract:
A nurse is caring for a client who is in labor and has an external fetal monitor. The nurse observes late decelerations on the monitor strip.
Question 3 of 5
The nurse interprets them as indicating which of the following?
Correct Answer: A
Rationale: Late decelerations indicate uteroplacental insufficiency, where reduced placental blood flow causes fetal hypoxia, unlike maternal bradycardia, cord compression (variable decelerations), or head compression (early decelerations).
Extract:
A nurse is caring for a client who has preeclampsia and is being treated with magnesium sulfate. The client's respiratory rate is 10/min, and deep-tendon reflexes are absent.
Question 4 of 5
Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Respiratory rate of 10/min and absent reflexes indicate magnesium sulfate toxicity, requiring immediate discontinuation of the infusion to prevent further complications like respiratory arrest.
Extract:
A nurse in a prenatal clinic is caring for a client who is pregnant and asks the nurse for her estimated date of birth (EDB). The client's last menstrual period began on July 27.
Question 5 of 5
What is the client's EDB? (State the date in MMDD format. For example, July 27 is 0727.)
Correct Answer: A
Rationale: Using Naegele's Rule (add 1 year, subtract 3 months, add 7 days), the EDB for an LMP of July 27 is May 4 (0504), assuming a 28-day cycle.