ATI RN
ATI Maternal Final Exam Questions
Extract:
A client in premature labor receiving terbutaline
Question 1 of 5
A nurse is caring for a client who is in premature labor and is receiving terbutaline. The nurse should monitor the client for which of the following adverse effects that should be reported to the provider?
Correct Answer: A
Rationale: Dyspnea may indicate pulmonary edema, a serious terbutaline side effect, requiring immediate provider notification, unlike common side effects like tremors.
Extract:
A client in active labor with 6 cm cervical dilation, 100% effacement, and BP 82/52 mm Hg
Question 2 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.
Extract:
A client 2 hr post-spontaneous vaginal birth saturating two perineal pads in 30 min
Question 3 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 at 38 weeks of gestation experiencing polyhydramnios
Question 4 of 5
A nurse is caring for a client who was admitted to the maternity unit at 38 weeks of gestation and who is experiencing polyhydramnios. The nurse should understand that this diagnosis means which of the following?
Correct Answer: D
Rationale: Polyhydramnios refers to an excessive accumulation of amniotic fluid, potentially causing complications such as preterm labor or maternal discomfort, and may require further evaluation.
Extract:
A client with diabetes prescribed 14 units regular insulin and 28 units NPH insulin at breakfast
Question 5 of 5
A nurse is caring for a client who has diabetes and a new prescription for 14 units of regular insulin and 28 units of NPH insulin subcutaneously at breakfast daily. What is the total number of units of insulin that the nurse should prepare in the insulin syringe?
Correct Answer: D
Rationale:
Total insulin = 14 units regular + 28 units NPH = 42 units, the amount to prepare in the syringe.