ATI RN
ATI Maternity Exam 3 Questions
Extract:
A client who is in labor
Question 1 of 5
A nurse is caring for a client who is in labor and assists the provider who performs an amniotomy. Which of the following is the priority action by the nurse following the procedure?
Correct Answer: A
Rationale: Fetal heart rate assessment post-amniotomy detects distress from cord compression. Underpads, fluid odor, and temperature are secondary priorities.
Extract:
A client who is in labor and has an external fetal monitor
Question 2 of 5
A nurse is caring for a client who is in labor and has an external fetal monitor. The nurse observes late decelerations on the monitor strip and interprets them as indicating which of the following?
Correct Answer: C
Rationale: Late decelerations indicate uteroplacental insufficiency, reducing fetal oxygen. Head compression causes early decelerations, cord compression causes variable decelerations, and maternal bradycardia isn't directly related.
Extract:
A client during a nonstress test (NST)
Question 3 of 5
A nurse is caring for a client during a nonstress test (NST). At the end of a 30-min period of observation, the nurse notes the following findings: The fetal heart rate baseline is 120/min with minimal variability and no accelerations. There are two decelerations of 15/min in the fetal heart rate during a period of fetal movement, each lasting 20 seconds. Which of the following interpretations of these findings should the nurse make?
Correct Answer: D
Rationale: No accelerations and minimal variability indicate a nonreactive NST, suggesting potential fetal compromise needing further evaluation. Reactive tests require accelerations; negative/positive aren't NST terms.
Extract:
A woman 12 hours postpartum with a pulse rate of 60 beats per minute.
Question 4 of 5
A woman who is 12 hours postpartum had a pulse rate around 80 beats per minute during pregnancy. Now, the nurse finds a pulse of 60 beats per minute. Which of these actions should the nurse take?
Correct Answer: C
Rationale: A pulse of 60 is normal postpartum as cardiovascular adaptations normalize, unlike the incorrect associations with DIC, eclampsia, or anemia.
Extract:
An adolescent patient at 20 weeks gestation with weight loss from 110 to 106 pounds.
Question 5 of 5
An adolescent patient at 20 weeks gestation states that it is important not to have a baby that weighs too much. She states this has been her rationale for limiting calories. Her weight has decreased from 110 pounds to 106 pounds. What would be the best nursing response?
Correct Answer: C
Rationale: Educating about the need for nutrition supports fetal health without judgment, unlike the other responses which dismiss concerns or blame.