ATI RN
ATI Maternity Exam 3 Questions
Extract:
A client who is in active labor at 7 cm of cervical dilation and 100% effacement
Question 1 of 5
A nurse is caring for a client who is in active labor and has just been examined as being at 7 cm of cervical dilation and 100% effacement. The fetus is at 1+ 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: C
Rationale: Panting or blowing prevents premature pushing at 7 cm, reducing cervical swelling risk. Comfort positioning, crowning observation, or bladder emptying are not appropriate yet.
Extract:
A client who is in her first trimester of pregnancy
Question 2 of 5
A nurse is caring for a client who is in her first trimester of pregnancy and asks the nurse if she can continue to exercise during pregnancy. Which of the following responses by the nurse is appropriate?
Correct Answer: A
Rationale: Moderate exercise like jogging is safe with hydration and temperature control. Saunas risk hyperthermia, stretching-only limits benefits, and avoiding exercise is incorrect.
Extract:
A client who is in active labor at 7 cm of cervical dilation and 100% effacement
Question 3 of 5
A nurse is caring for a client who is in active labor and has just been examined as being at 7 cm of cervical dilation and 100% effacement. The fetus is at 1+ 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: C
Rationale: Panting or blowing prevents premature pushing at 7 cm, reducing cervical swelling risk. Comfort positioning, crowning observation, or bladder emptying are not appropriate yet.
Extract:
A client who is in active labor and notes late decelerations on the fetal monitor
Question 4 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: A
Rationale: Positioning on the side improves uteroplacental blood flow, addressing late decelerations caused by insufficiency. Leg elevation, IV fluids, and oxygen are secondary actions.
Extract:
A woman being treated for preterm labor with magnesium sulfate.
Question 5 of 5
A woman is being treated for preterm labor with magnesium sulfate. Which finding by the nurse indicates magnesium sulfate toxicity?
Correct Answer: D
Rationale: Absent patellar reflexes signal magnesium toxicity, risking neuromuscular depression, unlike normal respiratory rate, flushing, or fetal heart rate.