ATI RN
ATI Maternal Final Exam Questions
Extract:
A client who is gravida 3, para 2, in active labor with fetal head at 3+ station
Question 1 of 4
A nurse is caring for a client who is gravida 3, para 2, and is in active labor. The fetal head is at 3+ station after a vaginal examination. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: At 3+ station, the fetal head is low in the birth canal, and crowning may occur soon, indicating imminent delivery, requiring observation.
Extract:
A client with severe preeclampsia receiving magnesium sulfate IV at 2 g/hr
Question 2 of 4
A nurse is caring for a client who has severe preeclampsia and is receiving magnesium sulfate IV at 2 g/hr. Which of the following findings indicates that it is safe for the nurse to continue the infusion?
Correct Answer: C
Rationale: A respiratory rate of 16/min indicates no respiratory depression, suggesting it is safe to continue magnesium sulfate, unlike signs of toxicity like low urine output or diminished reflexes.
Extract:
A client in the active phase of the first stage of labor with uterine contractions
Question 3 of 4
A nurse is caring for a client who is in the active phase of the first stage of labor. When monitoring the uterine contractions, which of the following findings should the nurse report to the provider?
Correct Answer: D
Rationale: Contractions longer than 90 seconds suggest hyperstimulation, risking fetal hypoxia, requiring immediate provider notification for management.
Extract:
A client undergoing an amniotomy
Question 4 of 4
A nurse is caring for a client who is to undergo an amniotomy. Which of the following is the priority nursing action following this procedure?
Correct Answer: A
Rationale: Assessing fetal heart rate post-amniotomy detects potential distress from cord compression or other complications, making it the priority action.
Extract:
A client post-amniotomy during labor
Question 5 of 4
A nurse is caring for a client who is in labor and assists the provider who performs an amniotomy. Which of the following is the priority action by the nurse following the procedure?
Correct Answer: D
Rationale: Monitoring fetal heart rate immediately post-amniotomy ensures fetal well-being, detecting any distress from the procedure, prioritizing over other assessments.