ATI RN
ATI Maternal Final Exam Questions
Extract:
A client who is postpartum with a slightly boggy fundus displaced to the right
Question 1 of 5
A nurse is caring for a client who is postpartum and finds the fundus slightly boggy and displaced to the right. Based on these findings, which of the following actions should the nurse take?
Correct Answer: B
Rationale: A boggy, right-displaced fundus suggests a full bladder, which can impede uterine contraction. Assisting the client to void helps the uterus return to midline and contract properly.
Extract:
A client who experienced a cesarean birth 4 hr ago and reports pain, a client with preeclampsia, or a client post-vaginal birth
Question 2 of 5
A nurse receives report about assigned clients at the start of the shift. Which of the following clients should the nurse plan to see first?
Correct Answer: B
Rationale: A client 4 hours post-cesarean with pain requires immediate attention for pain management and to assess for complications, prioritizing over stable or less urgent cases.
Extract:
A client having a difficult, prolonged labor with severe backache
Question 3 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.
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 4 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.
Extract:
A client who had a vaginal delivery 2 hr ago
Question 5 of 5
A nurse is caring for a client who had a vaginal delivery 2 hr ago. Which of the following actions should the nurse anticipate in the care of this client? (Select all that apply.)
Correct Answer: B,C,D,E
Rationale: B: A midline fundus indicates proper uterine position, reducing hemorrhage risk. C: Documenting fundal height monitors involution. D: Observing lochia assesses for excessive bleeding. E: Methylergonovine is used for a boggy uterus to prevent hemorrhage. A is incorrect as a firm fundus does not require massage.