Questions 46

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ATI RN Test Bank

ATI OB Obstetrics RN 300 Exam Questions

Extract:

A nurse is caring for a client having contractions every 8 min that are 30 to 40 seconds in duration. The client's cervix is 2 cm dilated, 50% effaced, and the fetus is at a -2 station with a FHR around 140/min.


Question 1 of 5

Which of the following stages and phases of labor is the client experiencing?

Correct Answer: A

Rationale: The latent phase of the first stage involves 0-3 cm dilation with mild, irregular contractions, matching the client's findings.

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 2 of 5

The nurse interprets them as indicating which of the following?

Correct Answer: C

Rationale: Late decelerations are caused by uteroplacental insufficiency, reducing fetal oxygenation due to poor placental perfusion.

Extract:

A nurse is caring for an adolescent client who is gravida 1 and para 0. The client was admitted to the hospital at 38 weeks of gestation with a diagnosis of preeclampsia.


Question 3 of 5

Which of the following findings should the nurse identify as inconsistent with preeclampsia?

Correct Answer: D

Rationale: Preeclampsia is characterized by hyperreflexia (+3 or +4). A +1 reflex is diminished and inconsistent with preeclampsia, suggesting possible magnesium toxicity or another condition.

Extract:

A nurse in a prenatal clinic is instructing a client about an amniocentesis, which is scheduled at 15 weeks of gestation.


Question 4 of 5

Which of the following should be included in the teaching?

Correct Answer: B

Rationale: Amniocentesis requires amniotic fluid for sampling to assess genetic or fetal conditions, performed at 15 weeks for chromosomal testing.

Extract:

The nurse implements a teaching plan for a pregnant client who is newly diagnosed with gestational diabetes mellitus.


Question 5 of 5

Which statement made by the client indicates a need for further teaching?

Correct Answer: C

Rationale: Exercise improves insulin sensitivity in gestational diabetes; avoiding it is incorrect and requires further teaching.

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