ATI RN
ATI Maternal Final Exam Questions
Extract:
A client 2 hr post-spontaneous vaginal birth saturating two perineal pads in 30 min
Question 1 of 5
A nurse is caring for a client 2 hr after a spontaneous vaginal birth and the client has saturated two perineal pads with blood in a 30-min period. Which of the following is the priority nursing intervention at this time?
Correct Answer: D
Rationale: Palpating the fundus assesses for uterine atony, a common cause of excessive bleeding, guiding further interventions like oxytocic administration.
Extract:
A client in active labor with 6 cm cervical dilation, 100% effacement, and BP 82/52 mm Hg
Question 2 of 5
A nurse is caring for a client who is in active labor. The client has 6 cm of cervical dilation and 100% cervical effacement. The nurse obtains the client's blood pressure reading as 82/52 mm Hg. Which of the following nursing interventions should the nurse perform?
Correct Answer: C
Rationale: Hypotension (82/52 mm Hg) in active labor requires turning the client to a lateral position to improve venous return and blood pressure, enhancing maternal and fetal perfusion.
Extract:
A newborn following a vacuum-assisted delivery
Question 3 of 5
A nurse is assessing a newborn following a vacuum-assisted delivery. Which of the following findings should the nurse report to the provider?
Correct Answer: B
Rationale: Poor sucking may indicate neurological issues or birth trauma from vacuum assistance, requiring provider evaluation, unlike expected findings like scalp edema or acrocyanosis.
Extract:
A client who is pregnant and has phenylketonuria (PKU)
Question 4 of 5
A nurse is providing teaching to a client who is pregnant and has phenylketonuria (PKU). Which of the following foods should the nurse instruct the client to eliminate from her diet?
Correct Answer: A
Rationale: Peanut butter is high in phenylalanine, which PKU clients cannot metabolize, necessitating its elimination to prevent complications.
Extract:
A client in premature labor receiving terbutaline
Question 5 of 5
A nurse is caring for a client who is in premature labor and is receiving terbutaline. The nurse should monitor the client for which of the following adverse effects that should be reported to the provider?
Correct Answer: A
Rationale: Dyspnea may indicate pulmonary edema, a serious terbutaline side effect, requiring immediate provider notification, unlike common side effects like tremors.