ATI RN
ATI Maternal Final Exam Questions
Extract:
A client in the first stage of labor using pattern-paced breathing, feeling lightheaded with tingling fingers
Question 1 of 5
A nurse is caring for a client who is in the first stage of labor and is using pattern-paced breathing. The client says she feels lightheaded and her fingers are tingling. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Lightheadedness and tingling suggest hyperventilation from rapid breathing, causing low CO2 levels. Breathing into a paper bag helps restore CO2 balance, alleviating symptoms.
Extract:
A client who is a primigravida at 42 weeks of gestation believing she is in labor
Question 2 of 5
A nurse midwife is examining a client who is a primigravida at 42 weeks of gestation and states that she believes she is in labor. Which of the following findings confirm to the nurse that the client is in labor?
Correct Answer: D
Rationale: Cervical dilation is a primary indicator of active labor, confirming the onset of true labor in a primigravida.
Extract:
A client who is a primigravida, at term, and unsure if in labor
Question 3 of 5
A nurse is caring for a client who is a primigravida, at term, and having contractions but is stating that she is 'not really sure if she is in labor or not.' Which of the following should the nurse recognize as a sign of true labor?
Correct Answer: C
Rationale: Progressive cervical dilation and effacement confirm true labor, distinguishing it from false labor contractions.
Extract:
A client following an amniotomy in the active phase of the first stage of labor
Question 4 of 5
A nurse is caring for a client following an amniotomy who is now in the active phase of the first stage of labor. Which of the following actions should the nurse implement with this client?
Correct Answer: A
Rationale: Regular bladder emptying prevents distention, which can impede labor progress and increase discomfort, making it essential post-amniotomy.
Extract:
A client in premature labor receiving terbutaline
Question 5 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 may indicate pulmonary edema, a serious terbutaline side effect, requiring immediate provider notification, unlike common side effects like tremors.