ATI RN
ATI Maternity Exam 3 Questions
Extract:
A client who experienced a cesarean birth due to dysfunctional labor
Question 1 of 5
A nurse is caring for a client who experienced a cesarean birth due to dysfunctional labor. The client states that she is disappointed that she did not have natural childbirth. Which of the following responses should the nurse make?
Correct Answer: B
Rationale: Empathizing with her sadness validates her feelings. Future delivery promises, sexual activity, or baby health focus dismiss her emotional needs.
Extract:
A client who is at 36 weeks of gestation and scheduled for an amniocentesis
Question 2 of 5
A nurse in a provider's office is caring for a client who is at 36 weeks of gestation and scheduled for an amniocentesis. The client asks why she is having an ultrasound prior to the procedure. Which of the following is an appropriate response by the nurse?
Correct Answer: B
Rationale: Ultrasound identifies placenta and fetus location to guide safe amniocentesis needle insertion. It's not primarily for multiple fetuses, spina bifida screening, or fetal age estimation.
Extract:
A client who is in active labor when the client's membranes rupture
Question 3 of 5
A nurse is caring for a client who is in active labor when the client's membranes rupture. The fetal monitor tracing shows late decelerations. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: Turning to the side relieves vena cava compression, improving blood flow to address late decelerations. IV fluids, oxygen, and palpation are secondary actions.
Extract:
A laboring client given narcotic analgesia at 10:00 a.m. with delivery at 10:35 a.m.
Question 4 of 5
Narcotic analgesia is administered to a laboring client at 10:00 a.m. The infant is delivered at 10:35 A.M. The nurse would anticipate that the narcotic analgesia could:
Correct Answer: C
Rationale: Narcotics given close to delivery can cross the placenta, causing neonatal respiratory depression due to limited clearance time, unlike the other incorrect effects.
Extract:
A client who has a positive pregnancy test
Question 5 of 5
A nurse is caring for a client who has a positive pregnancy test. The nurse is teaching the client about common discomforts in the first trimester of pregnancy as well as warning signs of potential danger. The nurse should instruct the client to call the clinic if she experiences which of the following manifestations?
Correct Answer: B
Rationale: Painful leg tenderness suggests deep vein thrombosis, a serious condition requiring immediate attention. Leukorrhea, nausea, and urinary frequency are common and not urgent.