ATI RN
ATI Maternity Exam 3 Questions
Extract:
A client is breastfeeding her newborn.
Question 1 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 laboring woman has a loop of pulsating cord in the vagina during a sterile vaginal exam.
Question 2 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.
Extract:
A client who is in labor
Question 3 of 5
A nurse is performing Leopold maneuvers on a client who is in labor and determines the fetus is in an ROA position. Which of the following fetal presentations should the nurse document in the client's medical record?
Correct Answer: D
Rationale: ROA (Right Occiput Anterior) indicates a vertex presentation, optimal for vaginal delivery. Shoulder, mentum, and breech are abnormal presentations.
Extract:
A 28-year-old G3 now P3 mother 2 hours post normal spontaneous vaginal delivery with sudden shortness of breath, hypoxia, and cyanosis.
Question 4 of 5
Following a normal spontaneous vaginal delivery (NSVD), a 28 year old G3 now P3 mother develops sudden onset shortness of breath, hypoxia and cyanosis. The delivery room nurse quickly recognizes these symptoms as possible:
Correct Answer: C
Rationale: These symptoms suggest anaphylactoid syndrome (amniotic fluid embolism), a rare postpartum emergency, unlike conditions affecting the fetus or unrelated asthma.
Extract:
A postpartum client approximately 6 hours after delivery.
Question 5 of 5
When the nurse is assessing a postpartum client approximately 6 hours after delivery, which finding would warrant further investigation?
Correct Answer: D
Rationale: A heart rate of 115 suggests possible hemorrhage or dehydration, requiring further assessment, unlike normal postpartum findings like lochia or sweating.