ATI RN
ATI Maternal Final Exam Questions
Extract:
A client in active labor with late decelerations on the fetal monitor
Question 1 of 5
A nurse is caring for a client who is in active labor and notes late decelerations on the fetal monitor. Which of the following is the priority nursing action?
Correct Answer: C
Rationale: Late decelerations indicate uteroplacental insufficiency. Positioning the client on her side, preferably left lateral, improves placental perfusion by relieving vena cava compression, making it the priority action.
Extract:
A client receiving opioid epidural analgesia during labor
Question 2 of 5
A nurse is caring for a client who is receiving opioid epidural analgesia during labor. Which of the following findings is the nurse's priority?
Correct Answer: B
Rationale: Hypotension (80/56 mm Hg) is a critical side effect of epidural analgesia due to sympathetic blockade, potentially reducing perfusion to the mother and fetus, making it the priority for immediate intervention.
Extract:
A client 2 hr post-vaginal birth receiving lactated Ringer's with 25 units oxytocin, with large rubra lochia and BP 146/94 mm Hg
Question 3 of 5
A nurse is admitting a client who experienced a vaginal birth 2 hr ago. The client is receiving an IV of lactated Ringer's with 25 units of oxytocin infusing and has large rubra lochia. Vital signs include blood pressure 146/94 mm Hg, pulse 80/min, and respiratory rate 18/min. The nurse reviews the prescriptions from the provider. Which of the following prescriptions requires clarification?
Correct Answer: C
Rationale: Methylergonovine is contraindicated with hypertension (BP 146/94 mm Hg) due to risk of hypertensive crisis, requiring clarification.
Extract:
A client who experienced abruptio placentae with petechiae and bleeding around the IV access site
Question 4 of 5
A nurse on the obstetric unit is caring for a client who experienced abruptio placentae. The nurse observes petechiae and bleeding around the IV access site. The nurse should recognize that this client is at risk for which of the following complications?
Correct Answer: A
Rationale: Abruptio placentae can lead to significant bleeding, triggering disseminated intravascular coagulation (DI
C), a serious condition involving widespread clotting and bleeding. Petechiae and bleeding at the IV site are indicative of DIC due to abnormal clotting.
Extract:
A client 8 hr post-vaginal birth with unrelieved episiotomy pain
Question 5 of 5
A nurse is caring for a client who reports unrelieved episiotomy pain 8 hr following a vaginal birth. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Applying an ice pack reduces swelling and pain in the perineal area, effective for episiotomy discomfort in the early postpartum period.