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 who had a vaginal delivery 2 hr ago
Question 2 of 5
A nurse is caring for a client who had a vaginal delivery 2 hr ago. Which of the following actions should the nurse anticipate in the care of this client? (Select all that apply.)
Correct Answer: B,C,D,E
Rationale: B: A midline fundus indicates proper uterine position, reducing hemorrhage risk. C: Documenting fundal height monitors involution. D: Observing lochia assesses for excessive bleeding. E: Methylergonovine is used for a boggy uterus to prevent hemorrhage. A is incorrect as a firm fundus does not require massage.
Extract:
A client who is in active labor with the presenting part at 0 station
Question 3 of 5
A nurse is assessing a client who is in active labor and notes that the presenting part is at 0 station. Which of the following is the correct interpretation of this clinical finding?
Correct Answer: B
Rationale: 0 station means the presenting part is at the level of the maternal ischial spines, a key landmark in labor progress, indicating engagement in the pelvis.
Question 4 of 5
A nurse is assessing a client who is in active labor and notes that the presenting part is at 0 station. Which of the following is the correct interpretation of this clinical finding?
Correct Answer: B
Rationale: 0 station indicates the presenting part is aligned with the ischial spines, signifying the fetus is engaged in the pelvis, a critical point in labor progression.
Extract:
A client at 28 weeks of gestation receiving terbutaline, a client with preeclampsia, or a tearful client at 32 weeks with irregular contractions
Question 5 of 5
A nurse is caring for a group of clients on an intrapartum unit. Which of the following findings should be reported to the provider immediately?
Correct Answer: C
Rationale: Epigastric pain and unresolved headache in preeclampsia suggest worsening conditions like HELLP syndrome or severe preeclampsia, requiring immediate reporting to prevent maternal and fetal complications.