ATI RN
ATI Maternal Final Exam Questions
Extract:
A client who is at 38 weeks of gestation and in the first stage of labor
Question 1 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 prescribed lithium 300 mg PO every 8 hr with 150 mg capsules available
Question 2 of 5
A nurse is preparing to administer lithium 300 mg PO every 8 hr. Available is lithium carbonate 150 mg capsules. How many capsules should the nurse administer per dose?
Correct Answer: 2 capsules
Rationale: 300 mg prescribed / 150 mg per capsule = 2 capsules per dose, a whole number requiring no rounding.
Extract:
A client who is 3 days postoperative following a cesarean birth
Question 3 of 5
A nurse is providing discharge teaching to a client who is 3 days postoperative following a cesarean birth. Which of the following client statements should indicate to the nurse the teaching is effective? (Select all that apply.)
Correct Answer: B,D,E
Rationale: B: Resuming prenatal vitamins supports recovery and breastfeeding. D: Unrelieved abdominal pain may indicate complications, requiring attention. E: Reporting incision discharge shows understanding of infection monitoring. A and C are incorrect as fever is not expected, and recliners may not support healing.
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 refers to an excessive accumulation of amniotic fluid, potentially causing complications such as preterm labor or maternal discomfort, and may require further evaluation.
Extract:
A client who experienced abruptio placentae with petechiae and bleeding around the IV access site
Question 5 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.