ATI RN
ATI Maternity Exam 3 Questions
Extract:
A client who is gravida 3, para 2, and is in active labor
Question 1 of 5
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: A 3+ station indicates imminent delivery, so observing for crowning prepares for birth. Nuchal cord checks, oxytocin, or fundal pressure are inappropriate at this stage.
Extract:
A client who is at 7 weeks of gestation
Question 2 of 5
A nurse in a prenatal clinic is caring for a client who is at 7 weeks of gestation. The client reports urinary frequency and asks if this will continue until delivery. Which of the following responses should the nurse make?
Correct Answer: A
Rationale: Urinary frequency occurs in the first trimester due to hormonal changes and late pregnancy from uterine pressure. Dismissing it, unpredictability, or blaming bladder tone are incorrect.
Extract:
A client who is in labor and has an epidural anesthesia block
Question 3 of 5
A nurse is caring for a client who is in labor and has an epidural anesthesia block. The client's blood pressure is 80/40 mm Hg, and the fetal heart rate is 140/min. Which of the following is the priority nursing action?
Correct Answer: B
Rationale: Lateral positioning corrects epidural-induced hypotension by improving blood flow. Leg elevation, monitoring, and notification are secondary to immediate repositioning.
Extract:
The nurse is performing a newborn physical assessment.
Question 4 of 5
The nurse is performing a newborn physical assessment and is about to elicit the Moro reflex. Which of the following responses should the nurse expect to see?
Correct Answer: B
Rationale: The Moro reflex involves arm and leg extension then adduction when startled, indicating neurological health, unlike the other reflexes described.
Extract:
A client who is 42 weeks of gestation
Question 5 of 5
A nurse is caring for a client who is 42 weeks of gestation. Based on the assessment findings, which of the following actions should the nurse plan to take?
Correct Answer: B,C,D
Rationale: For post-term pregnancy with potential distress, IV fluids, side-lying position, and oxygen improve perfusion and oxygenation. Increasing oxytocin risks distress, and SVE isn't urgent.