ATI RN
ATI Maternal Final Exam Questions
Extract:
A client in preterm labor
Question 1 of 5
A nurse is admitting a client who has a diagnosis of preterm labor. The nurse anticipates a prescription by the provider for which of the following medications? (Select all that apply.)
Correct Answer: A,C
Rationale: A: Indomethacin inhibits prostaglandin synthesis to delay preterm labor. C: Magnesium sulfate relaxes uterine muscles as a tocolytic. B, D, and E are incorrect as they promote labor or postpartum contractions.
Extract:
A client at 28 weeks of gestation receiving terbutaline
Question 2 of 5
A nurse is caring for a client who is at 28 weeks of gestation and received terbutaline. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: Terbutaline, a tocolytic, relaxes uterine smooth muscle to inhibit preterm labor, so weakened uterine contractions are an expected effect of its administration.
Extract:
A client who is at 38 weeks of gestation and in the first stage of labor
Question 3 of 5
A nurse is admitting a client who is at 38 weeks of gestation and is in the first stage of labor. Which of the following assessment findings should the nurse report to the provider first?
Correct Answer: B
Rationale: Continuous contractions lasting 2 minutes suggest uterine hyperstimulation, risking fetal hypoxia, and require immediate provider notification for intervention.
Extract:
A client undergoing an amniotomy
Question 4 of 5
A nurse is caring for a client who is to undergo an amniotomy. Which of the following is the priority nursing action following this procedure?
Correct Answer: A
Rationale: Assessing fetal heart rate post-amniotomy detects potential distress from cord compression or other complications, making it the priority action.
Extract:
A client in labor with an epidural anesthesia block, BP 80/40 mm Hg, and fetal heart rate 140/min
Question 5 of 5
A nurse is caring for a client who is in labor and has an epidural anesthesia block. The client's blood pressure is 80/40 mm Hg and the fetal heart rate is 140/min. Which of the following is the priority nursing action?
Correct Answer: D
Rationale: Placing the client in a lateral position relieves vena cava compression, improving blood pressure and perfusion, addressing hypotension from epidural anesthesia.