ATI RN
ATI NUR270A Maternity Exam Questions
Extract:
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 indicates potential respiratory complications from terbutaline, requiring immediate reporting.
Extract:
Client in active labor with persistent late decelerations.
Question 2 of 5
A nurse is caring for a client who is in active labor and notes persistent late decelerations on the fetal monitor. Which of the following are the priority nursing actions? (Select all that apply.)
Correct Answer: B,D,F
Rationale: Notifying the provider, repositioning to side-lying, and administering oxygen address fetal distress by improving oxygenation.
Extract:
Client in active labor, 7 cm dilated, 100% effaced, 0 station, sudden urge to push.
Question 3 of 5
A nurse is caring for a client who is in active labor with 7 cm of cervical dilation and 100% effacement. The fetus is at 0 station, and the client's amniotic membranes are intact. The client suddenly states that she needs to push. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Quick shallow breathing manages the urge to push, preventing premature pushing and cervical injury.
Extract:
Client in labor, 2 cm dilated, 60% effaced, -2 station.
Question 4 of 5
A client arrives in labor and delivery, and the L&D primary nurse gets a report from the L&D triage nurse. How does the primary nurse interpret the following information on the client's labor: 2 cm, 60%, and -2 station?
Correct Answer: B
Rationale: 2 cm dilation, 60% effacement, and -2 station indicate the fetus is 2 cm above the ischial spines.
Extract:
Fetus with occiput facing left maternal spine, mother with back labor pain.
Question 5 of 5
Using Leopold's Maneuvers, the fetus is found to be with its occiput facing toward the left maternal spine. The mother is complaining of increased back labor pain. The nurse knows that the fetus is in which position?
Correct Answer: C
Rationale: Left occiput posterior position causes back labor pain due to the occiput pressing against the maternal spine.