ATI RN
ATI Maternal Final Exam Questions
Extract:
A client in labor with an external fetal monitor showing late decelerations
Question 1 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: A
Rationale: Late decelerations are caused by uteroplacental insufficiency, indicating reduced oxygen supply to the fetus during contractions, a concerning sign requiring intervention to improve perfusion.
Extract:
A client with severe preeclampsia receiving magnesium sulfate IV at 2 g/hr
Question 2 of 5
A nurse is caring for a client who has severe preeclampsia and is receiving magnesium sulfate IV at 2 g/hr. Which of the following findings indicates that it is safe for the nurse to continue the infusion?
Correct Answer: C
Rationale: A respiratory rate of 16/min indicates no respiratory depression, suggesting it is safe to continue magnesium sulfate, unlike signs of toxicity like low urine output or diminished reflexes.
Extract:
A client in the active phase of the first stage of labor with uterine contractions
Question 3 of 5
A nurse is caring for a client who is in the active phase of the first stage of labor. When monitoring the uterine contractions, which of the following findings should the nurse report to the provider?
Correct Answer: D
Rationale: Contractions longer than 90 seconds suggest hyperstimulation, risking fetal hypoxia, requiring immediate provider notification for management.
Extract:
A client 2 hr post-spontaneous vaginal birth saturating two perineal pads in 30 min
Question 4 of 5
A nurse is caring for a client 2 hr after a spontaneous vaginal birth and the client has saturated two perineal pads with blood in a 30-min period. Which of the following is the priority nursing intervention at this time?
Correct Answer: D
Rationale: Palpating the fundus assesses for uterine atony, a common cause of excessive bleeding, guiding further interventions like oxytocic administration.
Extract:
A client who is pregnant being assessed for preeclampsia
Question 5 of 5
A nurse is assessing a client who is pregnant for preeclampsia. Which of the following findings should indicate to the nurse that the client requires further evaluation for this disorder?
Correct Answer: A
Rationale: Elevated blood pressure is a key diagnostic criterion for preeclampsia, requiring further evaluation to prevent progression to severe complications.