ATI RN
ATI Maternity Exam 3 Questions
Extract:
A client who is in active labor when the client's membranes rupture
Question 1 of 5
A nurse is caring for a client who is in active labor when the client's membranes rupture. The fetal monitor tracing shows late decelerations. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: Turning to the side relieves vena cava compression, improving blood flow to address late decelerations. IV fluids, oxygen, and palpation are secondary actions.
Extract:
Clients in the antenatal clinic
Question 2 of 5
A nurse is teaching about fetal development to a group of clients in the antenatal clinic. Which of the following statements should the nurse include in the teaching?
Correct Answer: C
Rationale: The heartbeat is visible by ultrasound at 6 weeks and audible by Doppler at 8-9 weeks. Quickening occurs at 16-25 weeks, sex is identifiable later, and lanugo peaks earlier.
Extract:
A client who is at 22 weeks of gestation
Question 3 of 5
A nurse is preparing to measure the fundal height of a client who is at 22 weeks of gestation. At which location should the nurse expect to palpate the fundus?
Correct Answer: C
Rationale: At 22 weeks, the fundus is approximately 2 cm above the umbilicus, aligning with gestational age progression. Other locations are incorrect for this stage.
Extract:
A patient who is having induction of labor with oxytocin administered through a secondary IV line
Question 4 of 5
A nurse on the labor and delivery unit is caring for a patient who is having induction of labor with oxytocin administered through a secondary IV line. Uterine contractions occur every 2 minutes, last 90 seconds, and are strong to palpation. The baseline fetal heart rate is 150/minute, with uniform decelerations beginning at the peak of the contraction and a return to baseline after the contraction is over. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Discontinuing oxytocin stops uterine hyperstimulation, indicated by frequent, prolonged contractions and late decelerations, to prevent fetal hypoxia. Increasing oxytocin worsens distress, IV fluid rate doesn't address the issue, and breathing rate is unrelated.
Extract:
A client who delivered a healthy term newborn via cesarean birth
Question 5 of 5
A nurse is caring for a client who delivered a healthy term newborn via cesarean birth. The client asks the nurse, 'Is there a chance that I could deliver my next baby without having a cesarean section?' Which of the following responses should the nurse provide?
Correct Answer: D
Rationale: The incision type, like low transverse, determines VBAC eligibility. Repeat cesareans aren't always safer, deferring entirely to the doctor avoids education, and dismissing concerns is unhelpful.