ATI RN
Custom ATI Maternity Exam 2 Questions
Extract:
Client in labor
Question 1 of 5
A nurse is assisting with the care of a client who is in labor. Which of the following findings should the nurse report to the provider?
Correct Answer: A fetal heart rate of 100/min for 10 minutes indicates bradycardia, suggesting fetal distress or hypoxia, which requires immediate reporting. The other findings are within normal limits for active labor.
Rationale:
Extract:
Client at 39 weeks of gestation with heavy vaginal bleeding
Question 2 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 who is 14 hr postpartum, breasts soft, fundus firm, slightly deviated to the right, moderate lochia rubra, temperature 37.7 C (100 F), pulse rate 88/min, respiratory rate 18/min
Question 3 of 5
A nurse is collecting data from a client who is 14 hr postpartum. The nurse notes: breasts soft, fundus firm, slightly deviated to the right, moderate 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 fundus deviated to the right suggests a full bladder, which can impede uterine contraction. Asking the client to empty her bladder is the priority to correct fundal position and prevent complications.
Rationale:
Extract:
Client with unrelieved episiotomy pain 8 hr following delivery
Question 4 of 5
A nurse is caring for a client who has unrelieved episiotomy pain 8 hr following delivery. Which of the following actions should the nurse take?
Correct Answer: Applying an ice pack reduces swelling and pain at the episiotomy site within the first 24-48 hours. Warm sitz baths or heat are not recommended until later to avoid increasing swelling.
Rationale:
Extract:
Client in labor receiving epidural anesthesia
Question 5 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: