ATI RN
ATI Maternal Final Exam Questions
Extract:
A client who experienced abruptio placentae with petechiae and bleeding around the IV access site
Question 1 of 5
A nurse on the obstetric unit is caring for a client who experienced abruptio placentae. The nurse observes petechiae and bleeding around the IV access site. The nurse should recognize that this client is at risk for which of the following complications?
Correct Answer: A
Rationale: Abruptio placentae can lead to significant bleeding, triggering disseminated intravascular coagulation (DI
C), a serious condition involving widespread clotting and bleeding. Petechiae and bleeding at the IV site are indicative of DIC due to abnormal clotting.
Extract:
A client post-amniotomy during labor
Question 2 of 5
A nurse is caring for a client who is in labor and assists the provider who performs an amniotomy. Which of the following is the priority action by the nurse following the procedure?
Correct Answer: D
Rationale: Monitoring fetal heart rate immediately post-amniotomy ensures fetal well-being, detecting any distress from the procedure, prioritizing over other assessments.
Extract:
A client 2 hr post-spontaneous vaginal birth saturating two perineal pads in 30 min
Question 3 of 5
A nurse is caring for a client 2 hr after a spontaneous vaginal birth and the client has saturated two perineal pads with blood in a 30-min period. Which of the following is the priority nursing intervention at this time?
Correct Answer: D
Rationale: Palpating the fundus assesses for uterine atony, a common cause of excessive bleeding, guiding further interventions like oxytocic administration.
Extract:
A client who is at 38 weeks of gestation and in the first stage of labor
Question 4 of 5
A nurse is admitting a client who is at 38 weeks of gestation and is in the first stage of labor. Which of the following assessment findings should the nurse report to the provider first?
Correct Answer: B
Rationale: Continuous contractions lasting 2 minutes suggest uterine hyperstimulation, risking fetal hypoxia, and require immediate provider notification for intervention.
Extract:
A client who is 2 hours postpartum following a cesarean birth with a history of thromboembolic disease
Question 5 of 5
A nurse is planning care for a client who is 2 hours postpartum following a cesarean birth. The client has a history of thromboembolic disease. Which of the following nursing interventions should be included in the plan of care?
Correct Answer: A
Rationale: Early ambulation reduces venous stasis and prevents thromboembolism in clients with a history of thromboembolic disease, unlike contraindicated actions like leg massage.