ATI RN
ATI Maternal Final Exam Questions
Extract:
A client who experienced a vaginal birth 3 hr ago with a firm fundus displaced to the right and two fingerbreadths above the umbilicus
Question 1 of 5
A nurse is caring for a client who experienced a vaginal birth 3 hr ago. Upon palpation, the fundus is displaced to the right of midline, is firm, and is two fingerbreadths above the umbilicus. Which of the following actions should the nurse complete at this time?
Correct Answer: B
Rationale: A firm fundus displaced to the right and elevated suggests a distended bladder. Having the client urinate relieves bladder pressure, allowing the uterus to contract properly.
Extract:
A client who is at 39 weeks of gestation and in active labor
Question 2 of 5
A nurse is creating the plan of care for a client who is at 39 weeks of gestation and in active labor. Which of the following actions should the nurse include in the plan of care?
Correct Answer: C
Rationale: Checking the cervix before analgesic administration ensures appropriate timing, as giving analgesics at full dilation risks neonatal depression. Continuous FHR monitoring is preferred over hourly.
Extract:
A client prescribed lithium 300 mg PO every 8 hr with 150 mg capsules available
Question 3 of 5
A nurse is preparing to administer lithium 300 mg PO every 8 hr. Available is lithium carbonate 150 mg capsules. How many capsules should the nurse administer per dose?
Correct Answer: 2 capsules
Rationale: 300 mg prescribed / 150 mg per capsule = 2 capsules per dose, a whole number requiring no rounding.
Extract:
A client who is 2 hours postpartum following a cesarean birth with a history of thromboembolic disease
Question 4 of 5
A nurse is planning care for a client who is 2 hours postpartum following a cesarean birth. The client has a history of thromboembolic disease. Which of the following nursing interventions should be included in the plan of care?
Correct Answer: A
Rationale: Early ambulation reduces venous stasis and prevents thromboembolism in clients with a history of thromboembolic disease, unlike contraindicated actions like leg massage.
Extract:
A client in labor with external fetal monitoring showing late decelerations
Question 5 of 5
A nurse in the labor and delivery unit is caring for a client who is undergoing external fetal monitoring. The nurse observes that the fetal heart rate begins to slow after the start of a contraction and the lowest rate occurs after the peak of the contraction. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: Late decelerations suggest uteroplacental insufficiency; placing the client in a lateral position improves placental perfusion by relieving vena cava pressure.