ATI RN
ATI Maternal Final Exam Questions
Extract:
A client following an amniotomy in the active phase of the first stage of labor
Question 1 of 5
A nurse is caring for a client following an amniotomy who is now in the active phase of the first stage of labor. Which of the following actions should the nurse implement with this client?
Correct Answer: A
Rationale: Regular bladder emptying prevents distention, which can impede labor progress and increase discomfort, making it essential post-amniotomy.
Extract:
A client at 38 weeks of gestation experiencing polyhydramnios
Question 2 of 5
A nurse is caring for a client who was admitted to the maternity unit at 38 weeks of gestation and who is experiencing polyhydramnios. The nurse should understand that this diagnosis means which of the following?
Correct Answer: D
Rationale: Polyhydramnios refers to an excessive accumulation of amniotic fluid, potentially causing complications such as preterm labor or maternal discomfort, and may require further evaluation.
Extract:
A client who had a vaginal delivery 2 hr ago
Question 3 of 5
A nurse is caring for a client who had a vaginal delivery 2 hr ago. Which of the following actions should the nurse anticipate in the care of this client? (Select all that apply.)
Correct Answer: B,C,D,E
Rationale: B: A midline fundus indicates proper uterine position, reducing hemorrhage risk. C: Documenting fundal height monitors involution. D: Observing lochia assesses for excessive bleeding. E: Methylergonovine is used for a boggy uterus to prevent hemorrhage. A is incorrect as a firm fundus does not require massage.
Extract:
A client undergoing an amniotomy
Question 4 of 5
A nurse is caring for a client who is to undergo an amniotomy. Which of the following is the priority nursing action following this procedure?
Correct Answer: A
Rationale: Assessing fetal heart rate post-amniotomy detects potential distress from cord compression or other complications, making it the priority action.
Extract:
A client who is in active labor with the presenting part at 0 station
Question 5 of 5
A nurse is assessing a client who is in active labor and notes that the presenting part is at 0 station. Which of the following is the correct interpretation of this clinical finding?
Correct Answer: B
Rationale: 0 station means the presenting part is at the level of the maternal ischial spines, a key landmark in labor progress, indicating engagement in the pelvis.