ATI RN
ATI Maternal Final Exam Questions
Extract:
A client in the first stage of labor with a protruding umbilical cord
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: C
Rationale: The knee-chest position relieves umbilical cord pressure by shifting the uterus, preventing fetal hypoxia, making it the priority action in cord prolapse.
Extract:
A client in labor with contractions 4 min apart
Question 2 of 5
A nurse receives report about a client who is in labor and is having contractions 4 min apart. Which of the following patterns should the nurse expect on the fetal monitoring tracing?
Correct Answer: B
Rationale: Contractions every 4 minutes with 60 seconds duration and 3-minute rest are typical for active labor, reflecting regular, effective contractions.
Extract:
A client in preterm labor
Question 3 of 5
A nurse is admitting a client who has a diagnosis of preterm labor. The nurse anticipates a prescription by the provider for which of the following medications? (Select all that apply.)
Correct Answer: A,C
Rationale: A: Indomethacin inhibits prostaglandin synthesis to delay preterm labor. C: Magnesium sulfate relaxes uterine muscles as a tocolytic. B, D, and E are incorrect as they promote labor or postpartum contractions.
Extract:
A client in labor with an external fetal monitor showing late decelerations
Question 4 of 5
A nurse is caring for a client who is in labor and has an external fetal monitor. The nurse observes late decelerations on the monitor strip and interprets them as indicating which of the following?
Correct Answer: A
Rationale: Late decelerations are caused by uteroplacental insufficiency, indicating reduced oxygen supply to the fetus during contractions, a concerning sign requiring intervention to improve perfusion.
Extract:
A client having a difficult, prolonged labor with severe backache
Question 5 of 5
A nurse on the labor and delivery unit is caring for a client who is having a difficult, prolonged labor with severe backache. Which of the following contributing causes should the nurse identify?
Correct Answer: D
Rationale: Persistent occiput posterior position causes prolonged labor and severe backache due to the fetal head's large diameter pressing against the maternal sacrum, increasing discomfort.