ATI RN
ATI Maternity Exam 3 Questions
Extract:
A client at 22 weeks' gestation is diagnosed with placenta previa.
Question 1 of 5
At 22 weeks' gestation, a client is diagnosed with placenta previa. The doctor tells the client that the placenta may move away from the cervix as the pregnancy progresses. This is classified as what type of previa?
Correct Answer: D
Rationale: Low-lying placenta previa is near the cervix but not covering it, and it may resolve as the uterus grows, unlike partial, complete, or marginal previa, which are less likely to shift.
Extract:
A client is breastfeeding her newborn.
Question 2 of 5
A client who is breastfeeding her newborn tells the nurse, 'I notice that when I feed him, I feel fairly strong contraction-like pain. Labor is over. Why am I having contractions now?' Which response by the nurse would be most appropriate?
Correct Answer: D
Rationale: Breastfeeding stimulates oxytocin release, triggering uterine contractions to aid involution, a normal postpartum process, unlike the other options which suggest complications or irrelevant actions.
Extract:
A couple has had difficulty conceiving.
Question 3 of 5
A couple who has had difficulty conceiving confides in the nurse at the infertility clinic that they feel overwhelmed with the decisions that face them. Which of the following nursing strategies would be most appropriate and therapeutic?
Correct Answer: A
Rationale: Providing information and support empowers the couple to make informed choices, fostering autonomy, while other options dismiss their concerns or impose solutions.
Extract:
The nurse administers vitamin K intramuscularly to a newborn.
Question 4 of 5
The nurse administers vitamin K intramuscularly as prophylaxis to the newborn based on which of the following rationales?
Correct Answer: D
Rationale: Vitamin K is essential for clotting factor synthesis, preventing hemorrhagic disease in newborns due to their low vitamin K levels at birth.
Extract:
A laboring woman has a loop of pulsating cord in the vagina during a sterile vaginal exam.
Question 5 of 5
The nurse, working in labor and delivery, performs a sterile vaginal exam on a laboring woman. During the exam, she feels a loop of pulsating cord in the vagina. The nurse would anticipate:
Correct Answer: C
Rationale: A pulsating cord indicates prolapse, requiring immediate action to relieve compression via pressure on the presenting part and urgent cesarean delivery to prevent fetal hypoxia.