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 who is at 39 weeks of gestation
Question 2 of 5
A nurse is reinforcing teaching about signs preceding the onset of labor with a client who is at 39 weeks of gestation. Which of the following statements should the nurse include?
Correct Answer: A surge of energy, or nesting instinct, is a common sign of impending labor. Weight gain, decreased discharge, or urinary retention are not typical precursors to labor.
Rationale:
Extract:
Client at 39 weeks of gestation with heavy vaginal bleeding
Question 3 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 4 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 who is 12 hr postpartum following a spontaneous vaginal delivery
Question 5 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: