ATI RN
ATI Maternity Exam 3 Questions
Extract:
A client who is in the third trimester of pregnancy
Question 1 of 5
A nurse is assessing a client who is in the third trimester of pregnancy. The nurse should recognize which of the following findings as an expected physiologic change during pregnancy?
Correct Answer: C
Rationale: Lordosis, an increased lower back curve, accommodates the growing uterus. Neck flexion, increased abdominal tone, and decreased joint mobility are not typical.
Extract:
A woman in her 40th week of pregnancy unsure about true or false labor.
Question 2 of 5
A woman in her 40th week of pregnancy calls the nurse at the clinic and says she's not sure whether she is in true or false labor. Which statement by the client would lead the nurse to suspect that the woman is experiencing false labor?
Correct Answer: B
Rationale: False labor contractions often subside with activity like walking, unlike true labor signs of intense, regular contractions radiating from back to abdomen.
Extract:
A patient experiencing fetal heart rate decelerations with an ordered amnioinfusion.
Question 3 of 5
The patient is having fetal heart rate decelerations. An amnioinfusion has been ordered for the patient to alleviate the decelerations. The nurse understands that the type of decelerations that will be alleviated by amnioinfusion is:
Correct Answer: C
Rationale: Amnioinfusion relieves variable decelerations by cushioning the umbilical cord, reducing compression, unlike late or early decelerations which have different causes.
Extract:
The nurse is performing a newborn physical assessment.
Question 4 of 5
The nurse is performing a newborn physical assessment and is about to elicit the Moro reflex. Which of the following responses should the nurse expect to see?
Correct Answer: B
Rationale: The Moro reflex involves arm and leg extension then adduction when startled, indicating neurological health, unlike the other reflexes described.
Extract:
A client who is a primigravida, at term, and having contractions
Question 5 of 5
A nurse is caring for a client who is a primigravida, at term, and having contractions. The client states that she is 'not really sure if she is in labor or not.' Which of the following should the nurse recognize as the most reliable sign of true labor?
Correct Answer: B
Rationale: Progressive cervical effacement and dilation confirm true labor. Engagement, membrane rupture, and irregular contractions are less reliable indicators.