ATI RN
ATI Maternal Final Exam Questions
Extract:
A newborn following a vacuum-assisted delivery
Question 1 of 5
A nurse is assessing a newborn following a vacuum-assisted delivery. Which of the following findings should the nurse report to the provider?
Correct Answer: B
Rationale: Poor sucking may indicate neurological issues or birth trauma from vacuum assistance, requiring provider evaluation, unlike expected findings like scalp edema or acrocyanosis.
Extract:
A client who experienced abruptio placentae with petechiae and bleeding around the IV access site
Question 2 of 5
A nurse on the obstetric unit is caring for a client who experienced abruptio placentae. The nurse observes petechiae and bleeding around the IV access site. The nurse should recognize that this client is at risk for which of the following complications?
Correct Answer: A
Rationale: Abruptio placentae increases the risk of DIC due to significant bleeding and thromboplastin release, causing widespread clotting and bleeding, as evidenced by petechiae and IV site bleeding.
Extract:
A client 2 hr post-spontaneous vaginal birth saturating two perineal pads in 30 min
Question 3 of 5
A nurse is caring for a client 2 hr after a spontaneous vaginal birth and the client has saturated two perineal pads with blood in a 30-min period. Which of the following is the priority nursing intervention at this time?
Correct Answer: D
Rationale: Palpating the fundus assesses for uterine atony, a common cause of excessive bleeding, guiding further interventions like oxytocic administration.
Extract:
A client who is postpartum with a slightly boggy fundus displaced to the right
Question 4 of 5
A nurse is caring for a client who is postpartum and finds the fundus slightly boggy and displaced to the right. Based on these findings, which of the following actions should the nurse take?
Correct Answer: B
Rationale: A boggy, right-displaced fundus suggests a full bladder, which can impede uterine contraction. Assisting the client to void helps the uterus return to midline and contract properly.
Extract:
A client having a difficult, prolonged labor with severe backache
Question 5 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.