ATI RN
ATI Maternal Final Exam Questions
Extract:
A client in active labor with 6 cm cervical dilation, 100% effacement, and BP 82/52 mm Hg
Question 1 of 5
A nurse is caring for a client who is in active labor. The client has 6 cm of cervical dilation and 100% cervical effacement. The nurse obtains the client's blood pressure reading as 82/52 mm Hg. Which of the following nursing interventions should the nurse perform?
Correct Answer: C
Rationale: Hypotension (82/52 mm Hg) in active labor requires turning the client to a lateral position to improve venous return and blood pressure, enhancing maternal and fetal perfusion.
Extract:
A client at 33 weeks of gestation with placenta previa
Question 2 of 5
A nurse is admitting a client who is at 33 weeks of gestation and has a diagnosis of placenta previa. Which of the following is the priority nursing action?
Correct Answer: A
Rationale: Monitoring vaginal bleeding is the priority in placenta previa to assess hemorrhage severity, ensuring maternal and fetal stability.
Extract:
A client who experienced abruptio placentae with petechiae and bleeding around the IV access site
Question 3 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 increases the risk of DIC due to significant bleeding and thromboplastin release, causing widespread clotting and bleeding, as evidenced by petechiae and IV site bleeding.
Extract:
A client at 38 weeks of gestation experiencing polyhydramnios
Question 4 of 5
A nurse is caring for a client who was admitted to the maternity unit at 38 weeks of gestation and who is experiencing polyhydramnios. The nurse should understand that this diagnosis means which of the following?
Correct Answer: D
Rationale: Polyhydramnios refers to an excessive accumulation of amniotic fluid, potentially causing complications such as preterm labor or maternal discomfort, and may require further evaluation.
Extract:
A client at 28 weeks of gestation receiving terbutaline, a client with preeclampsia, or a tearful client at 32 weeks with irregular contractions
Question 5 of 5
A nurse is caring for a group of clients on an intrapartum unit. Which of the following findings should be reported to the provider immediately?
Correct Answer: C
Rationale: Epigastric pain and unresolved headache in preeclampsia indicate potential severe complications like HELLP syndrome, necessitating immediate provider notification to prevent serious outcomes.