ATI RN
ATI Maternal Final Exam Questions
Extract:
A client post-amniotomy during 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: D
Rationale: Monitoring fetal heart rate immediately post-amniotomy ensures fetal well-being, detecting any distress from the procedure, prioritizing over other assessments.
Extract:
A client in labor who has had epidural anesthesia
Question 2 of 5
A nurse is assessing a client in labor who has had epidural anesthesia for pain relief. Which of the following findings should the nurse identify as a complication from the epidural block?
Correct Answer: A
Rationale: Hypotension is a common epidural complication due to vasodilation and reduced peripheral resistance, potentially affecting maternal and fetal perfusion.
Extract:
A client having a difficult, prolonged labor with severe backache
Question 3 of 5
A nurse on the labor and delivery unit is caring for a client who is having a difficult, prolonged labor with severe backache. Which of the following contributing causes should the nurse identify?
Correct Answer: D
Rationale: A persistent occiput posterior position leads to difficult labor and backache as the fetal head's occipitofrontal diameter contacts the sacrum, causing prolonged pressure and pain.
Extract:
A client who is 2 hours postpartum following a cesarean birth with a history of thromboembolic disease
Question 4 of 5
A nurse is planning care for a client who is 2 hours postpartum following a cesarean birth. The client has a history of thromboembolic disease. Which of the following nursing interventions should be included in the plan of care?
Correct Answer: A
Rationale: Early ambulation reduces venous stasis and prevents thromboembolism in clients with a history of thromboembolic disease, unlike contraindicated actions like leg massage.
Extract:
A client who consumed 4 oz juice, 6 oz tea, a 100 mL cup of ice chips, an IV bolus of 150 mL, and 8 oz broth
Question 5 of 5
A nurse is completing an 8-hr I&O record for a client who consumed 4 oz juice, 6 oz tea, a 100 mL cup full of ice chips, an IV bolus of 150 mL, and 8 oz broth. The nurse should record how many mL of intake on the client's record?
Correct Answer: 732 mL
Rationale: Calculating: 4 oz juice (118.294 mL) + 6 oz tea (177.441 mL) + 100 mL ice chips (50 mL, as ice melts to half volume) + 150 mL IV bolus + 8 oz broth (236.588 mL) = 732.323 mL, rounded to 732 mL.