ATI RN
ATI Maternal Final Exam Questions
Extract:
A client who had a vaginal delivery 2 hr ago
Question 1 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: Checking if the fundus is midline ensures proper uterine positioning. C: Documenting fundal height tracks involution. D: Observing lochia monitors for excessive bleeding. E: Methylergonovine is indicated for a boggy uterus to promote contractions. A is incorrect as massaging a firm fundus is unnecessary.
Extract:
A client who is at 40 weeks of gestation and in labor with electronic fetal heart rate monitoring
Question 2 of 5
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 she observes which of the following patterns?
Correct Answer: D
Rationale: Variable decelerations indicate umbilical cord compression, characterized by abrupt fetal heart rate drops, suggesting issues like cord prolapse or nuchal cord, requiring intervention.
Extract:
A client who is a primigravida at 42 weeks of gestation believing she is in labor
Question 3 of 5
A nurse midwife is examining a client who is a primigravida at 42 weeks of gestation and states that she believes she is in labor. Which of the following findings confirm to the nurse that the client is in labor?
Correct Answer: D
Rationale: Cervical dilation is a primary indicator of active labor, confirming the onset of true labor in a primigravida.
Extract:
A client who experienced abruptio placentae with petechiae and bleeding around the IV access site
Question 4 of 5
A nurse on the obstetric unit is caring for a client who experienced abruptio placentae. The nurse observes petechiae and bleeding around the IV access site. The nurse should recognize that this client is at risk for which of the following complications?
Correct Answer: A
Rationale: Abruptio placentae increases the risk of DIC due to significant bleeding and thromboplastin release, causing widespread clotting and bleeding, as evidenced by petechiae and IV site bleeding.
Extract:
A client who is 4 hr postpartum following a vaginal delivery
Question 5 of 5
A nurse is assessing a client who is 4 hr postpartum following a vaginal delivery. Which of the following findings should the nurse identify as the priority?
Correct Answer: C
Rationale: A saturated perineal pad in 30 minutes indicates excessive bleeding, suggesting possible postpartum hemorrhage, requiring immediate intervention.