ATI RN
ATI Maternal Final Exam Questions
Extract:
A client in the first stage of labor with external fetal monitoring and variable decelerations
Question 1 of 5
A nurse is caring for a client who is in the first stage of labor, undergoing external fetal monitoring, and receiving IV fluid. The nurse observes variable decelerations in the fetal heart rate on the monitor strip. Which of the following is a correct interpretation of this finding?
Correct Answer: D
Rationale: Variable decelerations are caused by umbilical cord compression, leading to abrupt, V-shaped decreases in fetal heart rate, often requiring positional changes or amnioinfusion to alleviate.
Extract:
A client at 28 weeks of gestation receiving terbutaline, a client with preeclampsia, or a tearful client at 32 weeks with irregular contractions
Question 2 of 5
A nurse is caring for a group of clients on an intrapartum unit. Which of the following findings should be reported to the provider immediately?
Correct Answer: C
Rationale: Epigastric pain and unresolved headache in preeclampsia suggest worsening conditions like HELLP syndrome or severe preeclampsia, requiring immediate reporting to prevent maternal and fetal complications.
Extract:
A client at 28 weeks of gestation receiving terbutaline
Question 3 of 5
A nurse is caring for a client who is at 28 weeks of gestation and received terbutaline. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: Terbutaline, a tocolytic, relaxes uterine smooth muscle to inhibit preterm labor, so weakened uterine contractions are an expected effect of its administration.
Extract:
A client in labor who has had epidural anesthesia
Question 4 of 5
A nurse is assessing a client in labor who has had epidural anesthesia for pain relief. Which of the following findings should the nurse identify as a complication from the epidural block?
Correct Answer: A
Rationale: Hypotension is a common epidural complication due to vasodilation and reduced peripheral resistance, potentially affecting maternal and fetal perfusion.
Extract:
A client at 33 weeks of gestation with placenta previa
Question 5 of 5
A nurse is admitting a client who is at 33 weeks of gestation and has a diagnosis of placenta previa. Which of the following is the priority nursing action?
Correct Answer: A
Rationale: Monitoring vaginal bleeding is the priority in placenta previa to assess hemorrhage severity, ensuring maternal and fetal stability.