ATI RN
ATI Maternal Final Exam Questions
Extract:
A client who is 4 hr postpartum following a vaginal delivery
Question 1 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 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 receiving magnesium sulfate for pre-eclampsia
Question 3 of 5
A nurse is assessing a client who is receiving magnesium sulfate to treat pre-eclampsia. Which of the following findings should the nurse report to the provider?
Correct Answer: A
Rationale: Low urinary output (40 mL in 2 hr) may indicate magnesium sulfate toxicity or reduced renal perfusion, requiring immediate provider notification.
Extract:
A client with severe preeclampsia at 35 weeks of gestation
Question 4 of 5
A nurse is admitting a client who has severe preeclampsia at 35 weeks of gestation and is reviewing the provider's orders. Which of the following orders requires clarification?
Correct Answer: A
Rationale: Ambulation is contraindicated in severe preeclampsia due to seizure risk; bed rest is typically prescribed, requiring clarification of this order.
Extract:
A client who is in active labor with the presenting part at 0 station
Question 5 of 5
A nurse is assessing a client who is in active labor and notes that the presenting part is at 0 station. Which of the following is the correct interpretation of this clinical finding?
Correct Answer: B
Rationale: 0 station means the presenting part is at the level of the maternal ischial spines, a key landmark in labor progress, indicating engagement in the pelvis.