ATI RN
ATI Pediatrics Final Exam Questions
Extract:
A client who is in active labor and notes that the presenting part is at 0 station
Question 1 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: D
Rationale: Station refers to the position of the presenting part of the fetus in relation to the ischial spines of the maternal pelvis.
Extract:
A client who is at 36 weeks of gestation. Reports a mild headache for the last several days as well as 'heartburn.' Denies visual disturbances. Also denies vaginal bleeding or leakage of fluid from the vagina. Reports occasional contraction and positive fetal movement. Reports they are unable to remove rings from fingers for the last several days. Reports headache is more severe and rates pain as a 5 on a 0 to 10 pain scale, Reports feeling dizzy when they got up from examination table
Question 2 of 5
Which of the following findings should the nurse report to the provider?
Correct Answer: A,B,C,E,F
Rationale: The client’s headache, dizziness, swelling, and gastrointestinal symptoms suggest possible preeclampsia, requiring reporting of cerebral manifestations, gastrointestinal findings, respiratory rate, blood pressure, and fetal heart rate.
Extract:
A client who is 2 hr postpartum following a vaginal birth
Question 3 of 5
A nurse is caring for a client who is 2 hr postpartum following a vaginal birth. Which of the following findings indicates the client's bladder is distended?
Correct Answer: B
Rationale: One of the signs that the bladder may be distended is when the fundus is palpable to the right of the midline.
Extract:
Preterm newborn who is in an incubator
Question 4 of 5
A nurse is caring for a preterm newborn who is in an incubator to maintain a neutral thermal environment. The father of the newborn asks the nurse why this is necessary. Which of the following responses should the nurse make?
Correct Answer: B
Rationale: Preterm newborns have immature physiological mechanisms to regulate their body temperature effectively.
Extract:
A client who is in active labor when the client's membranes rupture. The fetal monitor tracing shows late decelerations
Question 5 of 5
A nurse is caring for a client who is in active labor when the client's membranes rupture. The fetal monitor tracing shows late decelerations. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: Turning the client onto her side can help improve uteroplacental perfusion by relieving pressure on the vena cava and increasing blood flow to the uterus.