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ATI NURS 140 Maternal & Newborn 2024 Exam- 2

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Exam Details

Title ATI NURS 140 Maternal & Newborn 2024 Exam- 2

Type Nursing

Category RN Nursing Exams

Subcategory ATI Exams (RN)

Domain Maternal & Newborn Care (RN ati)

Fragment N/A

Module RN-NURSING

Status active

Rating 95.00%

Attempts 100

Year 2025

Duration 75 min

Questions 10

Pass Score 90%

Difficulty Medium

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1 : 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." Which of the following should the nurse recognize as a sign of true labor?

Changes in the cervix

Station of the presenting part

Rupture of the membranes

Pattern of contractions

Hint : When distinguishing true labor from false labor, focus on progressive cervical changes, as they are the most reliable and diagnostic indicators. Contractions alone are insufficient without evidence of cervical progression.

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2 : A nurse is caring for a client who is in labor and has an epidural anesthesia block. The clients blood pressure is 80/40 mm Hg and the fetal heart rate is 140/min. Which of the following is the priority nursing action?

Monitor vital signs every 5 min

Elevate the clients’ legs

Notify the provider

Place the client in a lateral position

Hint : When managing hypotension during labor with an epidural, focus on improving circulation and uterine perfusion to ensure maternal and fetal well-being. Positioning the client laterally is the fastest and most effective intervention.

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3 : A nurse is caring for a client who is in the first stage of labor, undergoing external fetal monitoring, and receiving IV fluid. The nurse observes variable decelerations in the fetal heart rate on the monitor strip. Which of the following is a correct interpretation of this finding?

Variable decelerations are related to fetal head compression

Variable decelerations are due to umbilical cord compression

Variable decelerations are caused by uteroplacental insufficiency

Variable decelerations are a result of the administration of narcotic analgesics

Hint : Look for irregular patterns in fetal heart rate decelerations. These are strongly linked to umbilical cord issues, such as compression, making it the primary cause of variable decelerations.

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4 : A nurse in a prenatal clinic is caring for a client. Using Leopold maneuvers, the nurse palpates a round, firm, movable part in the fundus of the uterus and a long, smooth surface on the client's right side. In which abdominal quadrant should the nurse expect to auscultate fetal heart tones?

Right upper

Left upper

Left lower

Right lower

Hint : When using Leopold maneuvers, focus on the location of the fetal back to determine where to auscultate the fetal heart tones most effectively.

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5 : A nurse is caring for a client who is postoperative following a tracheostomy, and has copious and tenacious secretions. Which of the following is an acceptable method for the nurse to use to thin this client's secretions?

Provide humidified oxygen.

Perform chest physiotherapy prior to suctioning.

Prelubricate the suction catheter tip with sterile saline when suctioning the airway.

Hyperventilate the client with 100% oxygen before suctioning the airway.

Hint : Focus on interventions that directly address thinning and loosening secretions rather than those primarily related to suctioning or ventilation. Humidified oxygen is particularly helpful in maintaining hydration in the airways.

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6 : A nurse is caring for a client who is at 39 weeks of gestation and is in active labor. The nurse locates the fetal heart tones above the client's umbilicus at midline. The nurse should suspect that the fetus is in which of the following

positions?

Frank breech

Cephalic

Transverse

Complete breech

Hint : Look for the location of fetal heart tones as a key indicator of fetal positioning. Heart tones above the umbilicus strongly suggest a breech presentation, particularly the Frank breech variety.

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7 : A nurse is preparing to measure the fundal height of a client who is at 22 weeks of gestation. At which location should the nurse expect to palpate the fundus?

3 cm above the umbilicus

3 cm below the umbilicus

Slightly below the umbilicus

Slightly above the umbilicus

Hint : Remember that fundal height measurements generally align with gestational age in weeks. For instance, at 20 weeks, the fundus is at the umbilicus, and it gradually rises as the pregnancy progresses.

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8 : A nurse is leading a discussion about contraception with a group of 14-year-old clients. After the presentation, a client asks the nurse which method would be best for her to use. Which of the following responses should the nurse make?

"A provider can help you with that after a physical examination."

"Before I can help you, I need to know more about your sexual activity."

"You are so young. Are you ready for the responsibilities of a sexual relationship?"

"Because of your age, I think that a barrier method would be the best choice."

Hint : When discussing contraception, focus on providing nonjudgmental support and referring clients to professional care when specialized advice or assessments are required.

Correct Answers:

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Rationale :

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9 : A nurse in an antepartum unit is triaging clients. Which of the following clients should the nurse see first?

A client who has missed a period and reports vaginal spotting

A client who is at 28 weeks of gestation and reports painless vaginal bleeding

A client who is at 38 weeks ot gestation and reports a cough and fever

A client who is at 14 weeks of gestation and reports nausea and vomiting

Hint : In triaging pregnant clients, focus on symptoms that may indicate life-threatening conditions for both the mother and fetus. Painless bleeding in later stages of pregnancy warrants immediate evaluation over less urgent concerns like nausea or fever.

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10 : A nurse is assessing a client who is receiving magnesium sulfate to treat pre-eclampsia. Which of the following findings should the nurse report to the provider?

Respirations 16/min

Fetal heart rate 158/min

Headache for 30 min

Urinary output 40 mL in 2 hr

Hint : When monitoring a client on magnesium sulfate, prioritize signs of toxicity or organ dysfunction such as oliguria (low urine output), respiratory depression, or absent reflexes.

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Ans

1 : 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." Which of the following should the nurse recognize as a sign of true labor?

2 : A nurse is caring for a client who is in labor and has an epidural anesthesia block. The clients blood pressure is 80/40 mm Hg and the fetal heart rate is 140/min. Which of the following is the priority nursing action?

3 : A nurse is caring for a client who is in the first stage of labor, undergoing external fetal monitoring, and receiving IV fluid. The nurse observes variable decelerations in the fetal heart rate on the monitor strip. Which of the following is a correct interpretation of this finding?

4 : A nurse in a prenatal clinic is caring for a client. Using Leopold maneuvers, the nurse palpates a round, firm, movable part in the fundus of the uterus and a long, smooth surface on the client's right side. In which abdominal quadrant should the nurse expect to auscultate fetal heart tones?

5 : A nurse is caring for a client who is postoperative following a tracheostomy, and has copious and tenacious secretions. Which of the following is an acceptable method for the nurse to use to thin this client's secretions?

6 : A nurse is caring for a client who is at 39 weeks of gestation and is in active labor. The nurse locates the fetal heart tones above the client's umbilicus at midline. The nurse should suspect that the fetus is in which of the followingpositions?

7 : A nurse is preparing to measure the fundal height of a client who is at 22 weeks of gestation. At which location should the nurse expect to palpate the fundus?

8 : A nurse is leading a discussion about contraception with a group of 14-year-old clients. After the presentation, a client asks the nurse which method would be best for her to use. Which of the following responses should the nurse make?

9 : A nurse in an antepartum unit is triaging clients. Which of the following clients should the nurse see first?

10 : A nurse is assessing a client who is receiving magnesium sulfate to treat pre-eclampsia. Which of the following findings should the nurse report to the provider?

6 : A nurse is caring for a client who is at 39 weeks of gestation and is in active labor. The nurse locates the fetal heart tones above the client's umbilicus at midline. The nurse should suspect that the fetus is in which of the following

positions?