ATI RN
ATI Maternal Final Exam Questions
Extract:
A client in labor who has had epidural anesthesia
Question 1 of 5
A nurse is assessing a client in labor who has had epidural anesthesia for pain relief. Which of the following findings should the nurse identify as a complication from the epidural block?
Correct Answer: A
Rationale: Hypotension is a common epidural complication due to vasodilation and reduced peripheral resistance, potentially affecting maternal and fetal perfusion.
Extract:
A client who is 4 hr postpartum following a vaginal delivery
Question 2 of 5
A nurse is assessing a client who is 4 hr postpartum following a vaginal delivery. Which of the following findings should the nurse identify as the priority?
Correct Answer: C
Rationale: A saturated perineal pad in 30 minutes indicates excessive bleeding, suggesting possible postpartum hemorrhage, requiring immediate intervention.
Extract:
A client in labor with external fetal monitoring showing late decelerations
Question 3 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 in premature labor receiving terbutaline
Question 4 of 5
A nurse is caring for a client who is in premature labor and is receiving terbutaline. The nurse should monitor the client for which of the following adverse effects that should be reported to the provider?
Correct Answer: A
Rationale: Dyspnea may indicate pulmonary edema, a serious terbutaline side effect, requiring immediate provider notification, unlike common side effects like tremors.
Extract:
A newborn whose mother is positive for the hepatitis B surface antigen
Question 5 of 5
A nurse is caring for a newborn whose mother is positive for the hepatitis B surface antigen. Which of the following should the infant receive?
Correct Answer: B
Rationale: Administering hepatitis B immune globulin and vaccine within 12 hours of birth provides passive and active immunity to prevent hepatitis B transmission from an HBsAg-positive mother.