ATI RN
ATI Maternal Final Exam Questions
Extract:
A client in labor with external fetal monitoring showing late decelerations
Question 1 of 5
A nurse in the labor and delivery unit is caring for a client who is undergoing external fetal monitoring. The nurse observes that the fetal heart rate begins to slow after the start of a contraction and the lowest rate occurs after the peak of the contraction. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: Late decelerations suggest uteroplacental insufficiency; placing the client in a lateral position improves placental perfusion by relieving vena cava pressure.
Extract:
A client who experienced abruptio placentae with petechiae and bleeding around the IV access site
Question 2 of 5
A nurse on the obstetric unit is caring for a client who experienced abruptio placentae. The nurse observes petechiae and bleeding around the IV access site. The nurse should recognize that this client is at risk for which of the following complications?
Correct Answer: A
Rationale: Abruptio placentae can lead to significant bleeding, triggering disseminated intravascular coagulation (DI
C), a serious condition involving widespread clotting and bleeding. Petechiae and bleeding at the IV site are indicative of DIC due to abnormal clotting.
Extract:
A client 2 hr post-vaginal birth receiving lactated Ringer's with 25 units oxytocin, with large rubra lochia and BP 146/94 mm Hg
Question 3 of 5
A nurse is admitting a client who experienced a vaginal birth 2 hr ago. The client is receiving an IV of lactated Ringer's with 25 units of oxytocin infusing and has large rubra lochia. Vital signs include blood pressure 146/94 mm Hg, pulse 80/min, and respiratory rate 18/min. The nurse reviews the prescriptions from the provider. Which of the following prescriptions requires clarification?
Correct Answer: C
Rationale: Methylergonovine is contraindicated with hypertension (BP 146/94 mm Hg) due to risk of hypertensive crisis, requiring clarification.
Extract:
A client 1 day postpartum following a vaginal delivery
Question 4 of 5
A nurse is reinforcing teaching about reducing perineal infection with a client following a vaginal delivery. Which of the following should the nurse include in the teaching? (Select all that apply.)
Correct Answer: A,B,D,E
Rationale: A: Blotting dry prevents moisture buildup, reducing infection risk. B: Washing with warm water cleanses bacteria post-voiding. D: Hand hygiene prevents bacterial spread. E: Front-to-back cleaning avoids introducing anal bacteria. C is incorrect as ice packs aid comfort, not infection prevention.
Extract:
A client who is 12 hr postpartum following a vaginal delivery
Question 5 of 5
A nurse is caring for a client who is 12 hr postpartum following a vaginal delivery. Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: At 12 hours postpartum, the fundus should be firm and at the umbilicus level, indicating proper uterine involution and reduced bleeding risk.