ATI RN
Custom ATI Maternity Exam 2 Questions
Extract:
Client receiving oxytocin via IV infusion following a vaginal delivery
Question 1 of 5
A nurse is assisting with the care of a client who is receiving oxytocin via IV infusion following a vaginal delivery. Which of the following findings should the nurse monitor to evaluate effectiveness of this medication?
Correct Answer: Fundal consistency is the best indicator of oxytocin effectiveness. Oxytocin promotes uterine contractions to prevent postpartum hemorrhage. A firm, midline fundus indicates the uterus is contracting properly.
Rationale:
Extract:
Client who is 12 hr postpartum following a spontaneous vaginal delivery
Question 2 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 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 requesting to go to the bathroom immediately after a vaginal birth
Question 4 of 5
A nurse is caring for a client who is requesting to go to the bathroom immediately after a vaginal birth. Which of the following actions should the nurse take?
Correct Answer: Assisting the client to the bathroom and assessing lochia is the best action. It ensures safety due to potential weakness post-delivery and allows monitoring of lochia for signs of excessive bleeding or infection, which is critical in the immediate postpartum period.
Rationale:
Extract:
Client in labor
Question 5 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: