ATI RN
ATI Maternity Exam 3 Questions
Extract:
A laboring client in the active phase of the first stage of labor.
Question 1 of 5
A client who is in labor is in the active phase of the first stage. Which of the following assessment findings would the nurse expect?
Correct Answer: C
Rationale: Active phase involves 4-8 cm dilation, with 6 cm typical, unlike the other findings which occur in different stages or are nonspecific.
Extract:
A client who is in active labor
Question 2 of 5
A nurse is preparing a client who is in active labor for epidural analgesia. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: A 30-minute EFM strip and Lactated Ringers bolus ensure fetal wellbeing and hydration before epidural. Dextrose risks overload, duration varies, and standing is impractical.
Extract:
Clients who are pregnant
Question 3 of 5
A nurse in a clinic is reviewing the medical records of a group of clients who are pregnant. The nurse should anticipate the provider will order a maternal serum alpha-fetoprotein (MSAFP) screening for which of the following clients?
Correct Answer: A
Rationale: MSAFP screening is routine for all pregnant women at 15-20 weeks to detect neural tube defects and chromosomal issues, regardless of specific histories.
Extract:
A client who is in her first trimester of pregnancy
Question 4 of 5
A nurse at a prenatal clinic is caring for a client who is in her first trimester of pregnancy. The client tells the nurse that she is upset because, although she and her husband planned this pregnancy, she has been having many doubts and second thoughts about the upcoming changes in her life. Which of the following is an appropriate response by the nurse?
Correct Answer: B
Rationale: Validating ambivalent feelings as common normalizes the client's emotions. Dismissing concerns, suggesting counseling prematurely, or assuming family discussions are unhelpful.
Extract:
The nurse is performing a newborn physical assessment.
Question 5 of 5
The nurse is performing a newborn physical assessment and is about to elicit the Moro reflex. Which of the following responses should the nurse expect to see?
Correct Answer: B
Rationale: The Moro reflex involves arm and leg extension then adduction when startled, indicating neurological health, unlike the other reflexes described.