Questions 23

ATI RN

ATI RN Test Bank

Custom ATI Maternity Exam 2 Questions

Extract:

Client in labor, vaginal examination documented as: 3 cm, 30%, and -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: The documentation indicates 3 cm dilation, 30% effacement, and the presenting part 1 cm above the ischial spines (-1 station), reflecting early labor progress.

Rationale:

Extract:

Client who is pregnant receiving dinoprostone gel


Question 2 of 5

A nurse is preparing to administer dinoprostone gel to a client who is pregnant. The client asks the nurse about the purpose of the medication. Which of the following responses should the nurse make?

Correct Answer: Dinoprostone is a prostaglandin used for cervical ripening, softening the cervix to prepare for labor induction. It does not primarily increase contraction frequency, reduce infection risk, or alleviate labor pain.

Rationale:

Extract:

Client who is 12 hr postpartum following a spontaneous vaginal delivery


Question 3 of 5

A nurse is collecting data from a client who is 12 hr postpartum following a spontaneous vaginal delivery. The nurse should expect to find the uterine fundus at which of the following positions on the client's abdomen?

Correct Answer: At 12 hours postpartum, the uterine fundus is expected to be at or slightly below the umbilicus, indicating normal uterine involution. Deviations may suggest complications like a full bladder or uterine atony.

Rationale:

Extract:

Client with preeclampsia reporting epigastric pain and unresolved headache


Question 4 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 RN immediately?

Correct Answer: Epigastric pain and unresolved headache in preeclampsia indicate severe disease, potentially progressing to eclampsia, requiring immediate reporting. The other findings are less urgent or expected.

Rationale:

Extract:

Client in labor, vaginal examination documented as: 3 cm, 30%, and -1


Question 5 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: The documentation indicates 3 cm dilation, 30% effacement, and the presenting part 1 cm above the ischial spines (-1 station), reflecting early labor progress.

Rationale:

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