ATI RN
Custom ATI Maternity Exam 2 Questions
Extract:
Client at 39 weeks of gestation with heavy vaginal bleeding
Question 1 of 5
A nurse is assisting with the admission of a client who is at 39 weeks of gestation and has heavy vaginal bleeding. Which of the following actions should the nurse take?
Correct Answer: Heavy vaginal bleeding at 39 weeks suggests conditions like placental abruption or placenta previa, necessitating preparation for a cesarean birth to ensure maternal and fetal safety.
Rationale:
Extract:
Client in the first stage of labor with umbilical cord protruding from the vagina
Question 2 of 5
A nurse is assisting with the care of a client who is in the first stage of labor. The nurse observes the umbilical cord protruding from the vagina. Which of the following actions should the nurse take first?
Correct Answer: Placing the client in a knee-chest or Trendelenburg position is the priority to relieve pressure on the prolapsed cord, restoring blood flow to the fetus and preventing hypoxia. This addresses the immediate risk of cord compression.
Rationale:
Extract:
Client who is pregnant receiving dinoprostone gel
Question 3 of 5
A nurse is preparing to administer dinoprostone gel to a client who is pregnant. The client asks the nurse about the purpose of the medication. Which of the following responses should the nurse make?
Correct Answer: Dinoprostone is a prostaglandin used for cervical ripening, softening the cervix to prepare for labor induction. It does not primarily increase contraction frequency, reduce infection risk, or alleviate labor pain.
Rationale:
Extract:
Client who is at 39 weeks of gestation
Question 4 of 5
A nurse is reinforcing teaching about signs preceding the onset of labor with a client who is at 39 weeks of gestation. Which of the following statements should the nurse include?
Correct Answer: A surge of energy, or nesting instinct, is a common sign of impending labor. Weight gain, decreased discharge, or urinary retention are not typical precursors to labor.
Rationale:
Extract:
Client who is a primigravida at 42 weeks of gestation, thinks she is in labor
Question 5 of 5
A nurse is assisting a nurse midwife in examining a client who is a primigravida at 42 weeks of gestation and states that she thinks she is in labor. Which of the following findings confirm that the client is in labor?
Correct Answer: Cervical dilation is the definitive sign of labor, indicating the cervix is opening due to uterine contractions. Other findings like contractions or amniotic fluid may occur but are not confirmatory without dilation.
Rationale: