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 at the first prenatal visit who has a BMI of 26.5
Question 2 of 5
A nurse is caring for a client at the first prenatal visit who has a BMI of 26.5. The client asks how much weight she should gain during pregnancy. Which of the following responses should the nurse make?
Correct Answer: C
Rationale: For a BMI of 26.5 (overweight), 15-25 pounds is recommended. One pound per week is too vague, 11-20 pounds is insufficient, and 25-35 pounds is for normal BMI.
Extract:
A client who smokes one pack of cigarettes per day at 6 weeks of gestation
Question 3 of 5
A nurse is completing a health history for a client who is at 6 weeks of gestation. The client informs the nurse that she smokes one pack of cigarettes per day. The nurse should advise the client that smoking places the client's newborn at risk for which of the following complications?
Correct Answer: D
Rationale: Smoking reduces placental blood flow, causing intrauterine growth restriction. It's not strongly linked to type 1 diabetes, hearing loss, or heart defects in this context.
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 client who is in active labor
Question 5 of 5
A nurse is assessing a client who is in active labor and notes that the presenting part is at 0 station. Which of the following is the correct interpretation of this clinical finding?
Correct Answer: B
Rationale: Station 0 means the presenting part is at the ischial spines level. Outlet passage, fontanel palpation, and head position are unrelated to station.