ATI RN
ATI Maternity Exam 3 Questions
Extract:
A client who is experiencing an especially rapid labor (precipitous labor)
Question 1 of 5
A nurse in the emergency department is admitting a client who is experiencing an especially rapid labor (precipitous labor). She is at 40 weeks of gestation, has ruptured membranes, and the nurse observes the newborn's head crowning. The client tells the nurse she feels a strong urge to push. Which of the following instructions should the nurse make to help the mother have a more controlled birth?
Correct Answer: C
Rationale: Panting or blowing during crowning slows delivery, reducing perineal trauma in precipitous labor. Deep breathing, hard pushing, or slow breathing risk rapid birth.
Extract:
A client who is in labor and has an external fetal monitor
Question 2 of 5
A nurse is caring for a client who is in labor and has an external fetal monitor. The nurse observes late decelerations on the monitor strip and interprets them as indicating which of the following?
Correct Answer: C
Rationale: Late decelerations indicate uteroplacental insufficiency, reducing fetal oxygen. Head compression causes early decelerations, cord compression causes variable decelerations, and maternal bradycardia isn't directly related.
Extract:
A client who is at 12 weeks gestation
Question 3 of 5
A nurse in a prenatal clinic is caring for a client who is at 12 weeks gestation. The client asks about the cause of her heartburn. Which of the following responses should the nurse make?
Correct Answer: D
Rationale: Progesterone relaxes the cardiac sphincter and slows gastric emptying, causing heartburn. Bile retention, estrogen, and uterine pressure are not primary causes.
Extract:
A client who experienced a cesarean birth due to dysfunctional labor
Question 4 of 5
A nurse is caring for a client who experienced a cesarean birth due to dysfunctional labor. The client states that she is disappointed that she did not have natural childbirth. Which of the following responses should the nurse make?
Correct Answer: B
Rationale: Empathizing with her sadness validates her feelings. Future delivery promises, sexual activity, or baby health focus dismiss her emotional needs.
Extract:
A client who is in the first stage of labor, undergoing external fetal monitoring, and receiving IV fluid
Question 5 of 5
A nurse is caring for a client who is in the first stage of labor, undergoing external fetal monitoring, and receiving IV fluid. The nurse observes variable decelerations in the fetal heart rate on the monitor strip. Which of the following is a correct interpretation of this finding?
Correct Answer: C
Rationale: Variable decelerations result from umbilical cord compression, reducing blood flow. Narcotics may cause other patterns, head compression causes early decelerations, and insufficiency causes late decelerations.