ATI RN
ATI Maternal Final Exam Questions
Extract:
A client who is at 39 weeks of gestation and in active labor
Question 1 of 5
A nurse is creating the plan of care for a client who is at 39 weeks of gestation and in active labor. Which of the following actions should the nurse include in the plan of care?
Correct Answer: C
Rationale: Checking the cervix before analgesic administration ensures appropriate timing, as giving analgesics at full dilation risks neonatal depression. Continuous FHR monitoring is preferred over hourly.
Extract:
A client at 37 weeks of gestation with placenta previa
Question 2 of 5
A nurse is caring for a client who is at 37 weeks of gestation and has placenta previa. The client asks the nurse why the provider does not do an internal examination. Which of the following explanations of the primary reason should the nurse provide?
Correct Answer: D
Rationale: Internal examinations in placenta previa risk dislodging the placenta, causing severe bleeding, which is the primary reason to avoid them.
Extract:
A client with severe preeclampsia receiving magnesium sulfate IV at 2 g/hr
Question 3 of 5
A nurse is caring for a client who has severe preeclampsia and is receiving magnesium sulfate IV at 2 g/hr. Which of the following findings indicates that it is safe for the nurse to continue the infusion?
Correct Answer: C
Rationale: A respiratory rate of 16/min indicates no respiratory depression, suggesting it is safe to continue magnesium sulfate, unlike signs of toxicity like low urine output or diminished reflexes.
Extract:
A client who is gravida 1, para 0, at 38 weeks of gestation with preeclampsia
Question 4 of 5
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. Which of the following findings should the nurse identify as inconsistent with preeclampsia?
Correct Answer: B
Rationale: Deep tendon reflexes of +1 are normal and inconsistent with preeclampsia, which typically shows brisk or hyperactive reflexes due to CNS irritability.
Extract:
A client who is at 38 weeks of gestation and in the first stage of labor
Question 5 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.