ATI RN
ATI Maternal Final Exam Questions
Extract:
A client who is a primigravida, at term, and unsure if in labor
Question 1 of 5
A nurse is caring for a client who is a primigravida, at term, and having contractions but is stating that she is 'not really sure if she is in labor or not.' Which of the following should the nurse recognize as a sign of true labor?
Correct Answer: C
Rationale: Cervical dilation and effacement are definitive signs of true labor, indicating active progression toward childbirth.
Extract:
A client who is postpartum with a slightly boggy fundus displaced to the right
Question 2 of 5
A nurse is caring for a client who is postpartum and finds the fundus slightly boggy and displaced to the right. Based on these findings, which of the following actions should the nurse take?
Correct Answer: B
Rationale: A boggy, right-displaced fundus suggests a full bladder, which can impede uterine contraction. Assisting the client to void helps the uterus return to midline and contract properly.
Extract:
A client prescribed enoxaparin 30 mg subcutaneously with 40 mg/mL available
Question 3 of 5
A nurse is caring for a client who is to receive enoxaparin 30 mg subcutaneously. Available is enoxaparin 40 mg/mL. How many mL should the nurse administer?
Correct Answer: 0.8 mL
Rationale: 30 mg / 40 mg/mL = 0.75 mL, rounded to 0.8 mL per the nearest tenth as instructed.
Extract:
A client at 37 weeks of gestation with placenta previa
Question 4 of 5
A nurse is caring for a client who is at 37 weeks of gestation and has placenta previa. The client asks the nurse why the provider does not do an internal examination. Which of the following explanations of the primary reason should the nurse provide?
Correct Answer: D
Rationale: Internal examinations in placenta previa risk dislodging the placenta, causing severe bleeding, which is the primary reason to avoid them.
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.