ATI RN
ATI Maternal Final Exam Questions
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 1 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 who is gravida 3, para 2, in active labor with fetal head at 3+ station
Question 2 of 5
A nurse is caring for a client who is gravida 3, para 2, and is in active labor. The fetal head is at 3+ station after a vaginal examination. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: At 3+ station, the fetal head is low in the birth canal, and crowning may occur soon, indicating imminent delivery, requiring observation.
Extract:
A client in active labor with 6 cm cervical dilation, 100% effacement, and BP 82/52 mm Hg
Question 3 of 5
A nurse is caring for a client who is in active labor. The client has 6 cm of cervical dilation and 100% cervical effacement. The nurse obtains the client's blood pressure reading as 82/52 mm Hg. Which of the following nursing interventions should the nurse perform?
Correct Answer: C
Rationale: Hypotension (82/52 mm Hg) in active labor requires turning the client to a lateral position to improve venous return and blood pressure, enhancing maternal and fetal perfusion.
Extract:
A client at 38 weeks of gestation experiencing polyhydramnios
Question 4 of 5
A nurse is caring for a client who was admitted to the maternity unit at 38 weeks of gestation and who is experiencing polyhydramnios. The nurse should understand that this diagnosis means which of the following?
Correct Answer: D
Rationale: Polyhydramnios is defined as an excessive amount of amniotic fluid, which can lead to complications like preterm labor or postpartum hemorrhage, often associated with maternal or fetal conditions.
Extract:
A client at 33 weeks of gestation with placenta previa
Question 5 of 5
A nurse is admitting a client who is at 33 weeks of gestation and has a diagnosis of placenta previa. Which of the following is the priority nursing action?
Correct Answer: A
Rationale: Monitoring vaginal bleeding is the priority in placenta previa to assess hemorrhage severity, ensuring maternal and fetal stability.