ATI RN
Maternal Newborn ATI Assessment Focused Review Questions
Extract:
Client in active labor 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: 0 station means the presenting part is at the ischial spines, indicating labor progress, not position, outlet passage, or fontanel palpability.
Extract:
Client in labor with epidural anesthesia
Question 2 of 5
A nurse is caring for a client who is in labor and has an epidural for pain control. Which of the following clinical manifestations is an adverse effect of epidural anesthesia?
Correct Answer: C
Rationale: Pruritus is a common epidural side effect due to histamine release from anesthetics, unlike polyuria, hypertension, or dry mouth.
Extract:
Client undergoing Papanicolaou (Pap) test
Question 3 of 5
A nurse is providing teaching to a client about the Papanicolaou (Pap) test. Which of the following information should the nurse include in the teaching?
Correct Answer: C
Rationale: Avoiding intercourse 24 hours before a Pap test ensures accurate cervical cell sampling, unlike incorrect frequency, ovarian status, or viral detection claims.
Extract:
Client who gave birth 4 hr ago with excessive vaginal bleeding
Question 4 of 5
A nurse is caring for a client who gave birth 4 hr ago and is experiencing excessive vaginal bleeding. Which of the following actions should the nurse plan to take first?
Correct Answer: C
Rationale: Massaging the fundus addresses uterine atony, the primary cause of postpartum hemorrhage, promoting contractions to control bleeding.
Extract:
Client at 38 weeks of gestation with continuous abdominal pain, vaginal bleeding, and cocaine use history
Question 5 of 5
A nurse is caring for a client who is at 38 weeks of gestation and is experiencing continuous abdominal pain and vaginal bleeding. The client has a history of cocaine use. The nurse should identify that the client is likely experiencing which of the following complications?
Correct Answer: A
Rationale: Abruptio placentae matches symptoms of pain and bleeding, exacerbated by cocaine's vascular effects, distinguishing it from previa, preterm labor, or molar pregnancy.