ATI RN
ATI Maternity Exam 3 Questions
Extract:
A client who is a primigravida, at term, and having contractions
Question 1 of 5
A nurse is caring for a client who is a primigravida, at term, and having contractions. The client states that she is 'not really sure if she is in labor or not.' Which of the following should the nurse recognize as the most reliable sign of true labor?
Correct Answer: B
Rationale: Progressive cervical effacement and dilation confirm true labor. Engagement, membrane rupture, and irregular contractions are less reliable indicators.
Extract:
A woman with a history of crack cocaine use admitted to the Labor and Birthing Unit with fetal bradycardia, acute abdominal pain, and dark red vaginal bleeding.
Question 2 of 5
A woman with a history of crack cocaine use is admitted to the Labor and Birthing Unit. While caring for the patient, the nurse notes a sudden onset of fetal bradycardia. The patient also complains of acute abdominal pain that is continuous and she has dark red vaginal bleeding. Which of the following would the nurse suspect?
Correct Answer: B
Rationale: These symptoms suggest placental abruption, exacerbated by cocaine use, causing fetal distress and maternal hemorrhage, unlike the other conditions which present differently.
Extract:
Counseling a new mother about breast milk immunologic properties.
Question 3 of 5
An nurse is counseling a new mother about the immunologic properties of breast milk. The nurse emphasizes that breast milk is the main source of which specific immunoglobulin?
Correct Answer: C
Rationale: IgA in breast milk, especially colostrum, protects the infant's gut mucosa, unlike IgG, IgE, or IgM which have lesser roles.
Extract:
A client following an amniotomy who is now in the active phase of the first stage of labor
Question 4 of 5
A nurse is caring for a client following an amniotomy who is now in the active phase of the first stage of labor. Which of the following actions should the nurse implement with this client?
Correct Answer: B
Rationale: Encouraging bladder emptying every 2 hours prevents obstruction of fetal descent. Lithotomy is for delivery, bearing down is for the second stage, and frequent exams risk infection.
Extract:
A postpartum client approximately 6 hours after delivery.
Question 5 of 5
When the nurse is assessing a postpartum client approximately 6 hours after delivery, which finding would warrant further investigation?
Correct Answer: D
Rationale: A heart rate of 115 suggests possible hemorrhage or dehydration, requiring further assessment, unlike normal postpartum findings like lochia or sweating.