ATI RN
Maternal Newborn ATI Assessment Focused Review Questions
Extract:
Client in active labor with early decelerations
Question 1 of 5
A nurse is caring for a client who is in active labor. The nurse notes early decelerations of the FHR on the fetal monitor tracing. The nurse should identify that which of the following conditions causes early decelerations in the FHR?
Correct Answer: D
Rationale: Early decelerations result from head compression during contractions, triggering a vagal response, unlike hypoxemia, cord issues, or placental insufficiency.
Extract:
Four postpartum clients
Question 2 of 5
A nurse on a postpartum unit is receiving change-of-shift report for four clients. Which of the following clients should the nurse see first?
Correct Answer: D
Rationale: Saturating a pad hourly suggests postpartum hemorrhage, requiring immediate assessment to prevent life-threatening blood loss.
Extract:
Client undergoing infertility assessment
Question 3 of 5
A nurse is conducting an infertility assessment for a newly admitted client. Which of the following factors should the nurse identify as affecting the client's fertility?
Correct Answer: A
Rationale: Premature ovarian failure depletes eggs, causing infertility, unlike kidney stones, painful periods, or UTIs, which don't directly impair fertility.
Extract:
Client pregnant for the fourth time with two full-term deliveries and one spontaneous abortion
Question 4 of 5
A nurse is caring for a client who is pregnant for the fourth time. The client delivered two full-term newborns and had one spontaneous abortion at 10 weeks of gestation. The nurse should document the client's obstetrical history as which of the following?
Correct Answer: C
Rationale: Gravida 4 counts all pregnancies; para 2 reflects two viable births, excluding the abortion before 20 weeks.
Extract:
Client at 32 weeks of gestation with stress incontinence
Question 5 of 5
A nurse is providing teaching to a client who is at 32 weeks of gestation and is experiencing stress incontinence. Which of the following information should the nurse include in the teaching?
Correct Answer: B,D
Rationale: Kegel exercises strengthen pelvic muscles, and less caffeine reduces bladder irritation, improving stress incontinence; fiber, fluids, and exercise are unrelated.