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ATI RN · ATI Maternal Newborn · Atrium Health Womens Care Maternal Fetal Monitoring

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

A pregnant patient is at 32 weeks gestation and reports that she feels short of breath when lying flat. What should the nurse's priority action be?

A. Assess the patient's respiratory rate and oxygen saturation.

B. Encourage the patient to sit up and rest in a more upright position.

C. Ask the patient to perform deep breathing exercises to improve oxygen flow.

D. Instruct the patient to take shallow breaths and avoid exertion.

Expert Explanatory Rationale

Correct Answer: Encourage the patient to sit up and rest in a more upright position.

Question 2 of 5

During the fourth stage of labor, a nurse assesses the perineum of a birthing person who had a vaginal birth. What is the primary purpose of this assessment?

A. to evaluate the birthing person's readiness for discharge

B. to ensure the birthing person can ambulate safely

C. to detect any signs of perineal trauma

D. to assess the status of cervical dilation

Expert Explanatory Rationale

Correct Answer: to detect any signs of perineal trauma

Question 3 of 5

The nurse working in an outpatient obstetric office assesses four primigravid clients. Which of the client findings should the nurse highlight for the physician? Select all that apply.

A. 17 weeks' gestation; denies feeling fetal movement.

B. 24 weeks' gestation; fundal height at the umbilicus.

C. 27 weeks' gestation; salivates excessively.

D. 34 weeks' gestation; experiences uterine cramping.

Expert Explanatory Rationale

Correct Answer: 17 weeks' gestation; denies feeling fetal movement.

Question 4 of 5

A nurse is preparing a laboring person for a cesarean birth. What is the most important action before the procedure?

A. administer preoperative medication

B. administer preoperative antibiotics

C. assist with perineal care

D. apply pressure to the abdomen

Expert Explanatory Rationale

Correct Answer: administer preoperative medication

Question 5 of 5

A patient who is 40 weeks pregnant presents to the labor and delivery unit with decreased fetal movement. What is the first step in management?

A. Perform a nonstress test (NST)

B. Administer a corticosteroid injection

C. Monitor fetal heart rate

D. Monitor the fetal heart rate

Expert Explanatory Rationale

Correct Answer: Perform a nonstress test (NST)

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