ATI RN
ATI Maternal Final Exam Questions
Extract:
A client who is in active labor with the presenting part 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: B
Rationale: 0 station indicates the presenting part is aligned with the ischial spines, signifying the fetus is engaged in the pelvis, a critical point in labor progression.
Extract:
A client who is at 38 weeks of gestation and in the first stage of labor
Question 2 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 who is 2 hours postpartum following a cesarean birth with a history of thromboembolic disease
Question 3 of 5
A nurse is planning care for a client who is 2 hours postpartum following a cesarean birth. The client has a history of thromboembolic disease. Which of the following nursing interventions should be included in the plan of care?
Correct Answer: A
Rationale: Early ambulation reduces venous stasis and prevents thromboembolism in clients with a history of thromboembolic disease, unlike contraindicated actions like leg massage.
Extract:
A client in the first stage of labor with external fetal monitoring and variable decelerations
Question 4 of 5
A nurse is caring for a client who is in the first stage of labor, undergoing external fetal monitoring, and receiving IV fluid. The nurse observes variable decelerations in the fetal heart rate on the monitor strip. Which of the following is a correct interpretation of this finding?
Correct Answer: D
Rationale: Variable decelerations are caused by umbilical cord compression, leading to abrupt, V-shaped decreases in fetal heart rate, often requiring positional changes or amnioinfusion to alleviate.
Extract:
A client receiving magnesium sulfate for pre-eclampsia
Question 5 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.