ATI RN
Custom ATI Maternity Exam 2 Questions
Extract:
Client in active labor with late decelerations on fetal monitor tracing
Question 1 of 5
The nurse is assisting in the care of a client who is in active labor. The nurse notes late decelerations on the fetal monitor tracing. Which of the following actions should the nurse take first?
Correct Answer: Positioning the client on her side is the first action to take as it reduces compression of the inferior vena cava and aorta, improving maternal and fetal circulation. This addresses the uteroplacental insufficiency causing late decelerations, which indicate fetal hypoxia.
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:
Question 3 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 requesting to go to the bathroom immediately after a vaginal birth
Question 4 of 5
A nurse is caring for a client who is requesting to go to the bathroom immediately after a vaginal birth. Which of the following actions should the nurse take?
Correct Answer: Assisting the client to the bathroom and assessing lochia is the best action. It ensures safety due to potential weakness post-delivery and allows monitoring of lochia for signs of excessive bleeding or infection, which is critical in the immediate postpartum period.
Rationale:
Extract:
Client who is pregnant receiving dinoprostone gel
Question 5 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: