ATI RN
ATI Maternal Newborn Final Exam Questions
Extract:
A nurse is caring for a client who is in labor and has an epidural anesthesia block. The client's blood pressure is 80/40 mm Hg, and the fetal heart rate is 140/min.
Question 1 of 5
Which of the following is the priority nursing action?
Correct Answer: C
Rationale: Placing the client in a lateral position is the priority for hypotension post-epidural, improving venous return and uteroplacental perfusion, unlike leg elevation, notification, or monitoring.
Extract:
A nurse is caring for a client who is having a nonstress test performed. The fetal heart rate (FHR) is 130 to 150/min, but there has been no fetal movement for 15 minutes.
Question 2 of 5
Which of the following actions should the nurse perform?
Correct Answer: D
Rationale: Offering a snack like orange juice stimulates fetal movement for the nonstress test, a non-invasive first step, unlike premature reporting, repositioning, or walking.
Extract:
A nurse is caring for a client who is at 40 weeks of gestation and is in labor. The client's ultrasound examination indicates that the fetus is small for gestational age (SGA).
Question 3 of 5
Which of the following interventions should be included in the newborn's plan of care?
Correct Answer: A
Rationale: SGA newborns are at risk for meconium aspiration syndrome, so observing for meconium in respiratory secretions is critical, unlike monitoring for hyperglycemia, hyperthermia, or anemia, which are less immediate concerns.
Extract:
A nurse is caring for a client who is a primigravida, at term, and having contractions but is stating that she is 'not really sure if she is in labor or not.'
Question 4 of 5
Which of the following should the nurse recognize as a sign of true labor?
Correct Answer: D
Rationale: Cervical changes (effacement and dilation) are the most reliable sign of true labor, unlike contraction patterns, station, or membrane rupture, which are less definitive.
Extract:
A nurse is caring for a client who is in labor and has an epidural anesthesia block. The client's blood pressure is 80/40 mm Hg, and the fetal heart rate is 140/min.
Question 5 of 5
Which of the following is the priority nursing action?
Correct Answer: C
Rationale: Placing the client in a lateral position is the priority for hypotension post-epidural, improving venous return and uteroplacental perfusion, unlike leg elevation, notification, or monitoring.