ATI RN
ATI Maternity Exam 3 Questions
Extract:
A client who is at 6 weeks of gestation with her first pregnancy
Question 1 of 5
A nurse is caring for a client who is at 6 weeks of gestation with her first pregnancy and asks the nurse when she can expect to experience quickening. Which of the following responses should the nurse make?
Correct Answer: C
Rationale: Quickening, the first fetal movements felt, occurs between 16-20 weeks (fourth to fifth months). It's not by the first trimester's end, last trimester, or tied to uterine position.
Extract:
A client who is at 40 weeks of gestation and is in labor
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 he observes which of the following patterns?
Correct Answer: A
Rationale: Variable decelerations indicate umbilical cord compression, reducing fetal blood flow. Late decelerations suggest uteroplacental insufficiency, accelerations are normal, and early decelerations relate to head compression.
Extract:
Reading results of non-stress test (NST) strips.
Question 3 of 5
The nurse is reading the results of non-stress test (NST) strips completed that day. Which of the following strips meets the criteria for a reactive NST?
Correct Answer: B
Rationale: A reactive NST requires two accelerations of 15 bpm for 15 seconds within 20 minutes, met only by option B, indicating fetal well-being.
Extract:
Reviewing causes of late postpartum hemorrhage.
Question 4 of 5
When reviewing the causes of late postpartum hemorrhage, which of the following would the nurse identify as the most common cause?
Correct Answer: A
Rationale: Retained placental fragments are the most common cause of late postpartum hemorrhage, disrupting uterine involution, unlike lacerations, inversion, or atony which are less frequent.
Extract:
A client who is at 40 weeks gestation and is lying supine while in active labor
Question 5 of 5
A nurse is caring for a client who is at 40 weeks gestation and is lying supine while in active labor. The client has 6 cm of cervical dilation and 100% cervical effacement. The nurse obtains the client's blood pressure reading as 82/52 mm Hg. Which of the following nursing interventions should the nurse perform?
Correct Answer: C
Rationale: Supine hypotension from vena cava compression causes low blood pressure; turning to the side restores blood flow. Upright positioning, cesarean, or delivery prep are inappropriate.