ATI RN
ATI Maternity Exam 3 Questions
Extract:
A client who is at 39 weeks of gestation
Question 1 of 5
A nurse in a prenatal clinic is caring for a client who is at 39 weeks of gestation and who asks about the signs that precede the onset of labor. Which of the following should the nurse identify as a sign that precedes labor?
Correct Answer: A
Rationale: A surge of energy, or nesting instinct, often precedes labor. Urinary retention, decreased discharge, and late weight gain are not typical pre-labor signs.
Extract:
A client who is at 38 weeks of gestation and is in the active phase of the first stage of labor
Question 2 of 5
A nurse is admitting a client who is at 38 weeks of gestation and is in the active phase of the first stage of labor. Which of the following assessment findings is the first priority for the nurse to report to the provider?
Correct Answer: A
Rationale: Prolonged contractions without rest suggest hyperstimulation, risking fetal distress, requiring immediate reporting. Urge to push, clear fluid, and mucous plug are less urgent.
Extract:
A patient who is having induction of labor with oxytocin administered through a secondary IV line
Question 3 of 5
A nurse on the labor and delivery unit is caring for a patient who is having induction of labor with oxytocin administered through a secondary IV line. Uterine contractions occur every 2 minutes, last 90 seconds, and are strong to palpation. The baseline fetal heart rate is 150/minute, with uniform decelerations beginning at the peak of the contraction and a return to baseline after the contraction is over. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Discontinuing oxytocin stops uterine hyperstimulation, indicated by frequent, prolonged contractions and late decelerations, to prevent fetal hypoxia. Increasing oxytocin worsens distress, IV fluid rate doesn't address the issue, and breathing rate is unrelated.
Extract:
A client who might be pregnant
Question 4 of 5
A nurse in a prenatal clinic is caring for a client who states that she might be pregnant because she feels the baby moving. How does the nurse classify this statement by the client?
Correct Answer: A
Rationale: Quickening is a subjective, presumptive sign of pregnancy, not definitive like positive signs (e.g., ultrasound) or objective probable signs (e.g., pregnancy test).
Extract:
A client who is in her first trimester of pregnancy
Question 5 of 5
A nurse is caring for a client who is in her first trimester of pregnancy and asks the nurse if she can continue to exercise during pregnancy. Which of the following responses by the nurse is appropriate?
Correct Answer: A
Rationale: Moderate exercise like jogging is safe with hydration and temperature control. Saunas risk hyperthermia, stretching-only limits benefits, and avoiding exercise is incorrect.