ATI RN
ATI Maternal Final Exam Questions
Extract:
A client in the active phase of the first stage of labor with uterine contractions
Question 1 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 with severe preeclampsia at 35 weeks of gestation
Question 2 of 5
A nurse is admitting a client who has severe preeclampsia at 35 weeks of gestation and is reviewing the provider's orders. Which of the following orders requires clarification?
Correct Answer: A
Rationale: Ambulation is contraindicated in severe preeclampsia due to seizure risk; bed rest is typically prescribed, requiring clarification of this order.
Extract:
A client who is pregnant and has phenylketonuria (PKU)
Question 3 of 5
A nurse is providing teaching to a client who is pregnant and has phenylketonuria (PKU). Which of the following foods should the nurse instruct the client to eliminate from her diet?
Correct Answer: A
Rationale: Peanut butter is high in phenylalanine, which PKU clients cannot metabolize, necessitating its elimination to prevent complications.
Extract:
A client 2 hr post-vaginal birth receiving lactated Ringer's with 25 units oxytocin, with large rubra lochia and BP 146/94 mm Hg
Question 4 of 5
A nurse is admitting a client who experienced a vaginal birth 2 hr ago. The client is receiving an IV of lactated Ringer's with 25 units of oxytocin infusing and has large rubra lochia. Vital signs include blood pressure 146/94 mm Hg, pulse 80/min, and respiratory rate 18/min. The nurse reviews the prescriptions from the provider. Which of the following prescriptions requires clarification?
Correct Answer: C
Rationale: Methylergonovine is contraindicated with hypertension (BP 146/94 mm Hg) due to risk of hypertensive crisis, requiring clarification.
Extract:
A client who experienced a vaginal birth 3 hr ago with a firm fundus displaced to the right and two fingerbreadths above the umbilicus
Question 5 of 5
A nurse is caring for a client who experienced a vaginal birth 3 hr ago. Upon palpation, the fundus is displaced to the right of midline, is firm, and is two fingerbreadths above the umbilicus. Which of the following actions should the nurse complete at this time?
Correct Answer: B
Rationale: A firm fundus displaced to the right and elevated suggests a distended bladder. Having the client urinate relieves bladder pressure, allowing the uterus to contract properly.