ATI RN
ATI NUR270A Maternity Exam Questions
Extract:
Primigravida discussing labor and delivery during a prenatal visit.
Question 1 of 5
While discussing labor and delivery during a prenatal visit, a primigravida asks the nurse when she should go to the hospital. The nurse's teaching was effective when the patient states that she will come when she:
Correct Answer: B
Rationale: Ruptured membranes signal potential labor onset or infection risk, necessitating hospital evaluation.
Extract:
Client with type 1 diabetes mellitus seeking preconception counseling with high HgbA1c.
Question 2 of 5
A client with type 1 diabetes mellitus is seeking preconception counseling. She has a high glycosylated hemoglobin (HgbA1c). Before trying to become pregnant, she is strongly encouraged to stabilize her blood glucose to reduce the possibility of her baby developing which of the following?
Correct Answer: A
Rationale: High maternal glucose levels increase the risk of congenital heart defects in the fetus.
Extract:
Client in labor with contractions every 8-10 minutes, 3 cm dilated, 80% effaced, head -2 station.
Question 3 of 5
A client arrives in labor and delivery having contractions every 8-10 minutes, lasting 30 seconds, and palpated as hard. Fetal heart rate is 124-138 with good variability. Maternal vital signs are 98.4°F temp, HR 88, RR 20, BP 112/64. Membranes are intact and vaginal exam reveals: cervix is 80% effaced, 3 cm dilated, head -2 station. The nurse knows that the patient is in which stage of labor?
Correct Answer: D
Rationale: Cervical dilation of 3 cm and 80% effacement indicate the latent phase of the first stage of labor.
Extract:
Client at 25 weeks gestation in preterm labor with pre-eclampsia, receiving Nifedipine and magnesium sulfate.
Question 4 of 5
The client at 25 weeks gestation in preterm labor has developed pre-eclampsia. After receiving Nifedipine to stop her contractions, she is started on magnesium sulfate to control her pre-eclampsia. When assessing the client, which findings by the nurse indicate that the client is experiencing an adverse effect from the magnesium sulfate? (Select all that apply).
Correct Answer: A,F,G
Rationale: Respiratory depression, confusion, and oliguria are signs of magnesium sulfate toxicity.
Extract:
34-year-old female, gravida 2, para 1, at 34 weeks gestation with gestational diabetes, clear fluid leakage, mild cramping.
Question 5 of 5
A nurse is caring for a 34-year-old female client who is at 34 weeks of gestation in the antepartum unit. What are the priority nursing actions for this client? Select all that apply.
Correct Answer: A,B,E
Rationale: Fetal monitoring, magnesium sulfate for neuroprotection, and monitoring for chorioamnionitis address preterm rupture risks.