ATI RN
ATI Pediatrics Final Exam Questions
Extract:
A client who is in the first stage of labor. The nurse observes the umbilical cord protruding from the vagina
Question 1 of 5
A nurse is caring for a client who is in the first stage of labor. The nurse observes the umbilical cord protruding from the vagina. Which of the following actions should the nurse perform first?
Correct Answer: A
Rationale: Inserting a gloved hand to relieve pressure on the cord prevents compression and compromised blood flow to the fetus.
Extract:
A client who is at 22 weeks of gestation
Question 2 of 5
A nurse is preparing to measure the fundal height of a client who is at 22 weeks of gestation. At which location should the nurse expect to palpate the fundus?
Correct Answer: D
Rationale: At 22 weeks of gestation, the fundal height is typically around the level of the umbilicus or slightly above it.
Extract:
Gravida 4 Para 3, 33 weeks of gestation, Allergies: Sulfa, Height 165 cm (66 in), Weight 82 kg (180 lb), BMI 30.6, 3.2 kg (7 lb) weight gain over the last 2 weeks
Question 3 of 5
Select the assessment findings the nurse should report to the provider.
Correct Answer: C,D,E
Rationale: Significant weight gain, blood pressure, and fetal heart rate are critical to report due to potential preeclampsia or other complications.
Extract:
A client who is at 40 weeks of gestation and is in labor
Question 4 of 5
A nurse is observing the electronic fetal heart rate monitor tracing for a client who is at 40 weeks of gestation and is in labor. The nurse should suspect a problem with the umbilical cord when she observes which of the following patterns?
Correct Answer: D
Rationale: Variable decelerations are abrupt decreases in fetal heart rate that vary in timing, duration, and depth. They are often associated with umbilical cord compression, such as when the cord is being compressed or squeezed during contractions.
Extract:
Clients in an antepartum unit
Question 5 of 5
A nurse in an antepartum unit is triaging clients. Which of the following clients should the nurse see first?
Correct Answer: A
Rationale: Painless vaginal bleeding in the third trimester could be a sign of placenta previa or placental abruption, both of which are serious conditions requiring immediate medical attention.