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ATI Maternity Exam 3 Questions

Extract:

A client following an amniotomy who is now 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: B

Rationale: Encouraging bladder emptying every 2 hours prevents obstruction of fetal descent. Lithotomy is for delivery, bearing down is for the second stage, and frequent exams risk infection.

Extract:

A full-term infant with a slightly decreased temperature.


Question 2 of 5

The nurse's initial action when caring for an otherwise stable, full term infant with a slightly decreased temperature is to:

Correct Answer: A

Rationale: Skin-to-skin contact effectively warms a stable infant while promoting bonding, avoiding unnecessary interventions like blood tests or incubator use.

Extract:

A client 4 months pregnant at her initial prenatal visit.


Question 3 of 5

A client who is 4 months pregnant is at the prenatal clinic for her initial visit. Her history reveals she has a 7-year-old daughter who was born at 34 weeks gestation, a 2-year old son born at 39 weeks gestation, and a spontaneous abortion 1 year ago at 6 weeks gestation. Using the GTPAL method, the nurse would document her obstetric history as:

Correct Answer: C

Rationale: GTPAL (4 pregnancies, 1 term, 1 preterm, 1 abortion, 2 living children) accurately reflects her history, unlike the incorrect calculations in other options.

Extract:

A client who is at 23 weeks of gestation


Question 4 of 5

A nurse is teaching a client who is at 23 weeks of gestation and will return to the facility in 2 days for an amniocentesis. Which of the following instructions should the nurse give the client?

Correct Answer: B

Rationale: Emptying the bladder before amniocentesis improves comfort and safety. Bowel prep, fasting, and washing the abdomen are not required.

Extract:

Clients in an antepartum unit


Question 5 of 5

A nurse in an antepartum unit is triaging clients. Which of the following clients should the nurse see first?

Correct Answer: D

Rationale: Painless vaginal bleeding at 28 weeks suggests placenta previa, a life-threatening condition requiring immediate assessment. Cough, spotting, and nausea are less urgent.

Similar Questions

A woman is at 32 weeks' gestation. Her fundal height measurement at this clinic appointment is 26 centimeters. After reviewing her ultrasound results, the health care provider asks the nurse to schedule the client for a series of ultrasounds to be done every 2 weeks. The nurse should ensure that the client understands that the main purpose for this is to:
A nurse in the emergency department is admitting a client who is experiencing an especially rapid labor (precipitous labor). She is at 40 weeks of gestation, has ruptured membranes, and the nurse observes the newborn's head crowning. The client tells the nurse she feels a strong urge to push. Which of the following instructions should the nurse make to help the mother have a more controlled birth?
In a client's seventh month of pregnancy, she reports feeling 'dizzy, like I'm going to pass out, when I lie down flat on my back'. The nurse explains that this is due to:
A nurse in a prenatal clinic is caring for a client who is at 7 weeks of gestation. The client reports urinary frequency and asks if this will continue until delivery. Which of the following responses should the nurse make?
A nurse is observing the electronic fetal heart rate monitor tracing for a client who is at 40 weeks of gestation and is in labor. The nurse should suspect a problem with the umbilical cord when he observes which of the following patterns?

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