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: 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.
Question 2 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 at 28 weeks of gestation receiving terbutaline, a client with preeclampsia, or a tearful client at 32 weeks with irregular contractions
Question 3 of 5
A nurse is caring for a group of clients on an intrapartum unit. Which of the following findings should be reported to the provider immediately?
Correct Answer: C
Rationale: Epigastric pain and unresolved headache in preeclampsia suggest worsening conditions like HELLP syndrome or severe preeclampsia, requiring immediate reporting to prevent maternal and fetal complications.
Extract:
A client at 33 weeks of gestation with placenta previa
Question 4 of 5
A nurse is admitting a client who is at 33 weeks of gestation and has a diagnosis of placenta previa. Which of the following is the priority nursing action?
Correct Answer: A
Rationale: Monitoring vaginal bleeding is the priority in placenta previa to assess hemorrhage severity, ensuring maternal and fetal stability.
Extract:
A client receiving opioid epidural analgesia during labor
Question 5 of 5
A nurse is caring for a client who is receiving opioid epidural analgesia during labor. Which of the following findings is the nurse's priority?
Correct Answer: B
Rationale: Hypotension (80/56 mm Hg) is a critical side effect of epidural analgesia due to sympathetic blockade, potentially reducing perfusion to the mother and fetus, making it the priority for immediate intervention.