ATI RN
ATI OB Obstetrics RN 300 Exam Questions
Extract:
Question 1 of 5
Which of the following is a primary indication for performing a nonstress test during pregnancy?
Correct Answer: D
Rationale: The correct answer is D:
To assess fetal well-being in cases of suspected fetal growth restriction. Nonstress tests are used to monitor the fetal heart rate in response to fetal movement, providing information about fetal well-being. This is crucial in cases of suspected fetal growth restriction to ensure the baby is receiving adequate oxygen and nutrients.
Choice A is incorrect because determining gestational age is typically done through ultrasound, not a nonstress test.
Choice B is incorrect as measuring amniotic fluid volume is usually assessed through ultrasound.
Choice C is incorrect as confirming labor contractions is typically done through physical examination or monitoring uterine activity, not a nonstress test.
Extract:
A nurse is providing teaching to a client who is at 30 weeks of gestation and is to have a nonstress test (NST).
Question 2 of 5
Which of the following statements by the client indicates a need for further teaching?
Correct Answer: B
Rationale: The correct answer is B because lying on the back during a non-stress test (NST) can compress the vena cava, reducing blood flow to the placenta and potentially affecting the baby's oxygen supply. This can lead to inaccurate test results and potential harm to the baby.
Choice A is correct as it indicates understanding of fetal activity for optimal test timing.
Choices C and D are incorrect as they demonstrate understanding of the monitoring process and duration of the test, respectively.
Extract:
A nurse is admitting a client who has severe preeclampsia at 35 weeks of gestation and is reviewing the provider's orders.
Question 3 of 5
Which of the following orders requires clarification?
Correct Answer: C
Rationale: The correct answer is C because "Ambulate twice daily" lacks specificity in terms of timing and duration, unlike the other orders which provide clear instructions. Continuous fetal monitoring (
A) is specific and crucial for fetal well-being. Assessing deep tendon reflexes every hour (
B) is a time-specific order. Obtaining a daily weight (
D) specifies the frequency of the task. In summary, C needs clarification as it lacks specificity, unlike the other options that provide clear guidance.
Extract:
A nurse in a clinic is reviewing the medical records of a group of clients who are pregnant.
Question 4 of 5
The nurse should anticipate the provider will order a maternal serum alpha-fetoprotein (MSAFP) screening for which of the following clients?
Correct Answer: D
Rationale: The correct answer is D because maternal serum alpha-fetoprotein (MSAFP) screening is a routine prenatal test recommended for all pregnant clients, regardless of their medical history or risk factors. This test helps to screen for neural tube defects and chromosomal abnormalities in the fetus. Options A, B, and C do not specifically necessitate MSAFP screening, as they are not direct indications for this test.
Therefore, option D is the most appropriate choice as it emphasizes the importance of universal screening for all pregnant individuals.
Extract:
A nurse is admitting a client who is at 37 weeks of gestation and has severe gestational hypertension.
Question 5 of 5
Which of the following actions should the nurse expect to implement? Select all that apply.
Correct Answer: A,B,C
Rationale: The correct answers are A, B, and C. A nurse should provide a dark, quiet environment to promote rest and reduce stimulation. Administering magnesium sulfate IV is crucial for managing pre-eclampsia and preventing seizures. Ensuring that calcium gluconate is readily available is important in case of magnesium sulfate toxicity.
Choices D and E are incorrect because respiratory and neurological assessments should be done more frequently in patients at risk for complications.