ATI RN
Custom ATI Maternity Exam 2 Questions
Extract:
Client at 39 weeks of gestation with heavy vaginal bleeding
Question 1 of 5
A nurse is assisting with the admission of a client who is at 39 weeks of gestation and has heavy vaginal bleeding. Which of the following actions should the nurse take?
Correct Answer: Heavy vaginal bleeding at 39 weeks suggests conditions like placental abruption or placenta previa, necessitating preparation for a cesarean birth to ensure maternal and fetal safety.
Rationale:
Extract:
Client in the first stage of labor with umbilical cord protruding from the vagina
Question 2 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: Placing the client in a knee-chest or Trendelenburg position is the priority to relieve pressure on the prolapsed cord, restoring blood flow to the fetus and preventing hypoxia. This addresses the immediate risk of cord compression.
Rationale:
Extract:
Client in labor receiving epidural anesthesia
Question 3 of 5
A nurse is reinforcing teaching with a client who is in labor about why epidural anesthesia is not initiated until a good labor pattern has been established. Which of the following explanations should the nurse include?
Correct Answer: Early epidural administration can interfere with labor hormones, slowing contractions and prolonging labor. It does not delay membrane rupture, cause hypertension, or depress the fetus.
Rationale:
Extract:
Client who is 12 hr postpartum following a spontaneous vaginal delivery
Question 4 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 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: