ATI RN
ATI Maternal Final Exam Questions
Extract:
A client in labor with an epidural anesthesia block, BP 80/40 mm Hg, and fetal heart rate 140/min
Question 1 of 5
A nurse is caring for a client who is in labor and has an epidural anesthesia block. The client's blood pressure is 80/40 mm Hg and the fetal heart rate is 140/min. Which of the following is the priority nursing action?
Correct Answer: D
Rationale: Placing the client in a lateral position relieves vena cava compression, improving blood pressure and perfusion, addressing hypotension from epidural anesthesia.
Extract:
A client undergoing an amniotomy
Question 2 of 5
A nurse is caring for a client who is to undergo an amniotomy. Which of the following is the priority nursing action following this procedure?
Correct Answer: A
Rationale: Assessing fetal heart rate post-amniotomy detects potential distress from cord compression or other complications, making it the priority action.
Extract:
A client receiving opioid epidural analgesia during labor
Question 3 of 5
A nurse is caring for a client who is receiving opioid epidural analgesia during labor. Which of the following findings is the nurse's priority?
Correct Answer: B
Rationale: Hypotension (80/56 mm Hg) is a critical side effect of epidural analgesia due to sympathetic blockade, potentially reducing perfusion to the mother and fetus, making it the priority for immediate intervention.
Extract:
A client in active labor preparing for epidural analgesia
Question 4 of 5
A nurse is preparing a client who is in active labor for epidural analgesia. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Obtaining a 30-minute EFM strip establishes a baseline fetal heart rate, ensuring fetal well-being before epidural administration.
Extract:
A client in active labor with 6 cm cervical dilation, 100% effacement, and BP 82/52 mm Hg
Question 5 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.