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 means the presenting part is at the level of the maternal ischial spines, a key landmark in labor progress, indicating engagement in the pelvis.
Extract:
A client at 28 weeks of gestation receiving terbutaline, a client with preeclampsia, or a tearful client at 32 weeks with irregular contractions
Question 2 of 5
A nurse is caring for a group of clients on an intrapartum unit. Which of the following findings should be reported to the provider immediately?
Correct Answer: C
Rationale: Epigastric pain and unresolved headache in preeclampsia suggest worsening conditions like HELLP syndrome or severe preeclampsia, requiring immediate reporting to prevent maternal and fetal complications.
Extract:
A client 1 day postpartum following a vaginal delivery
Question 3 of 5
A nurse is reinforcing teaching about reducing perineal infection with a client following a vaginal delivery. Which of the following should the nurse include in the teaching? (Select all that apply.)
Correct Answer: A,B,D,E
Rationale: A: Blotting dry prevents moisture buildup, reducing infection risk. B: Washing with warm water cleanses bacteria post-voiding. D: Hand hygiene prevents bacterial spread. E: Front-to-back cleaning avoids introducing anal bacteria. C is incorrect as ice packs aid comfort, not infection prevention.
Extract:
A client having a difficult, prolonged labor with severe backache
Question 4 of 5
A nurse on the labor and delivery unit is caring for a client who is having a difficult, prolonged labor with severe backache. Which of the following contributing causes should the nurse identify?
Correct Answer: D
Rationale: Persistent occiput posterior position causes prolonged labor and severe backache due to the fetal head's large diameter pressing against the maternal sacrum, increasing discomfort.
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.