ATI RN
ATI NUR270A Maternity Exam Questions
Extract:
Client in active labor, 7 cm dilated, 100% effaced, 0 station, sudden urge to push.
Question 1 of 5
A nurse is caring for a client who is in active labor with 7 cm of cervical dilation and 100% effacement. The fetus is at 0 station, and the client's amniotic membranes are intact. The client suddenly states that she needs to push. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Quick shallow breathing manages the urge to push, preventing premature pushing and cervical injury.
Question 2 of 5
A nurse is caring for a client who is in active labor with 7 cm of cervical dilation and 100% effacement. The fetus is at 0 station, and the client's amniotic membranes are intact. The client suddenly states that she needs to push. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Quick shallow breathing manages the urge to push, preventing premature pushing and cervical injury.
Extract:
34-year-old female, gravida 4, para 3, at 34 weeks gestation with preeclampsia, managed with labetalol.
Question 3 of 5
A nurse is caring for a 34-year-old female client who is at 34 weeks of gestation and has been admitted to the antepartum unit for preeclampsia management. Review the findings below and identify if each item is normal or abnormal for a client at 34 weeks of gestation with preeclampsia.
| Finding | Normal | Abnormal |
|---|---|---|
| Blood pressure 160/105 mm Hg: Abnormal | ||
| Reflexes 3+: Abnormal | ||
| Platelet count 140,000/mm³: Abnormal | ||
| Temperature 37.2°C: Normal | ||
| Oxygen saturation 97%: Normal |
Correct Answer: A,B,C,D,E
Rationale: Elevated BP, hyperreflexia, and low platelets are abnormal in preeclampsia; normal temperature and oxygen saturation are expected.
Extract:
Fetus with occiput facing left maternal spine, mother with back labor pain.
Question 4 of 5
Using Leopold's Maneuvers, the fetus is found to be with its occiput facing toward the left maternal spine. The mother is complaining of increased back labor pain. The nurse knows that the fetus is in which position?
Correct Answer: C
Rationale: Left occiput posterior position causes back labor pain due to the occiput pressing against the maternal spine.
Extract:
Client in first stage of labor with protruding umbilical cord.
Question 5 of 5
A nurse is caring for a client who is in the first stage of labor. The nurse observes the umbilical cord protruding from the vagina. Which of the following actions should the nurse NOT perform?
Correct Answer: D
Rationale: Attempting to reinsert the cord risks further compression and infection, worsening fetal distress.