ATI LPN
ATI PN Maternal Newborn Rn X1 Questions
Extract:
client, in labor, vaginal examination 3 cm, 30%, -1
Question 1 of 5
A nurse is assisting in the care of a client who is in labor. The doctor documents the vaginal examination as: 3 cm, 30%, and -1. The nurse evaluates this documentation to mean which of the following?
Correct Answer: C
Rationale: The documentation indicates 3 cm dilation, 30% effacement, and the presenting part at -1 station (1 cm above the ischial spines), reflecting labor progress.
Extract:
client, 36 weeks gestation, suspected placenta previa
Question 2 of 5
A nurse is caring for a client who is at 36 weeks of gestation and has suspected placenta previa. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: Placenta previa typically causes painless, bright red vaginal bleeding due to placental positioning over the cervical os.
Extract:
client, first stage of labor, umbilical cord protruding
Question 3 of 5
A nurse is assisting with the care of a client who is in the first stage of labor. The nurse observes the umbilical cord protruding from the vagina. Which of the following actions should the nurse take FIRST?
Correct Answer: B
Rationale: Relieving cord compression by positioning and elevating the presenting part is the priority to prevent fetal hypoxia.
Extract:
patient, fetal demise at 30 weeks gestation
Question 4 of 5
You are assuming the care of a patient admitted for a fetal demise at 30 weeks gestation. Which is the most therapeutic response to the patient?
Correct Answer: B
Rationale: This response expresses empathy and invites the patient to share, supporting grief processing.
Extract:
client, 14 hr postpartum, boggy fundus, large lochia rubra
Question 5 of 5
A nurse is collecting data from a client who is 14 hr postpartum. The nurse notes: breasts soft, fundus boggy 4 fingerbreadths above the umbilicus and deviated to the right, large lochia rubra, temperature 37.7°C (100°F), pulse rate 88/min, respiratory rate 18/min. Which of the following actions should the nurse perform?
Correct Answer: A
Rationale: A full bladder is the likely cause of the deviated, boggy fundus; emptying it is the first action to reduce bleeding.