ATI RN
ATI Maternity Exam 3 Questions
Extract:
A client who is at 38 weeks of gestation and in early labor with ruptured membranes
Question 1 of 5
A nurse admits a woman who is at 38 weeks of gestation and in early labor with ruptured membranes. The nurse determines that the client's oral temperature is 38.9°C (102°F). Besides notifying the provider, which of the following is an appropriate nursing action?
Correct Answer: C
Rationale: Fever with ruptured membranes suggests infection; assessing amniotic fluid odor detects infection signs. Glucocorticoids are for preterm, cesarean isn't immediate, and delaying recheck risks progression.
Extract:
A client who is in labor
Question 2 of 5
A nurse is caring for a client who is in labor and assists the provider who performs an amniotomy. Which of the following is the priority action by the nurse following the procedure?
Correct Answer: A
Rationale: Fetal heart rate assessment post-amniotomy detects distress from cord compression. Underpads, fluid odor, and temperature are secondary priorities.
Extract:
A client who is in active labor
Question 3 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:
A client during the first prenatal visit
Question 4 of 5
A nurse is providing dietary education to a client during the first prenatal visit. Which of the following statements by the client should indicate to the nurse a need for clarification?
Correct Answer: D
Rationale: Some fish high in mercury are unsafe in pregnancy, requiring clarification. Avoiding alcohol, 2 liters of fluid, and moderate caffeine are correct.
Extract:
A client who is at 30 weeks of gestation
Question 5 of 5
A nurse is providing teaching to a client who is at 30 weeks of gestation and is to have a nonstress test (NST). Which of the following statements by the client indicates a need for further teaching?
Correct Answer: A
Rationale: Lying supine during an NST can compress the vena cava, reducing blood flow; a semi-reclined or lateral position is used. Heart rate monitoring, test duration, and active baby timing are correct.