ATI RN
ATI Maternal Final Exam Questions
Extract:
A client receiving opioid epidural analgesia during labor
Question 1 of 5
A nurse is caring for a client who is receiving opioid epidural analgesia during labor. Which of the following findings is the nurse's priority?
Correct Answer: B
Rationale: Hypotension (80/56 mm Hg) is a critical side effect of epidural analgesia due to sympathetic blockade, potentially reducing perfusion to the mother and fetus, making it the priority for immediate intervention.
Extract:
A client in the first stage of labor using pattern-paced breathing, feeling lightheaded with tingling fingers
Question 2 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 at 28 weeks of gestation receiving terbutaline, a client with preeclampsia, or a tearful client at 32 weeks with irregular contractions
Question 3 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 indicate potential severe complications like HELLP syndrome, necessitating immediate provider notification to prevent serious outcomes.
Extract:
A client at 38 weeks of gestation experiencing polyhydramnios
Question 4 of 5
A nurse is caring for a client who was admitted to the maternity unit at 38 weeks of gestation and who is experiencing polyhydramnios. The nurse should understand that this diagnosis means which of the following?
Correct Answer: D
Rationale: Polyhydramnios is defined as an excessive amount of amniotic fluid, which can lead to complications like preterm labor or postpartum hemorrhage, often associated with maternal or fetal conditions.
Question 5 of 5
A nurse is caring for a client who was admitted to the maternity unit at 38 weeks of gestation and who is experiencing polyhydramnios. The nurse should understand that this diagnosis means which of the following?
Correct Answer: D
Rationale: Polyhydramnios refers to an excessive accumulation of amniotic fluid, potentially causing complications such as preterm labor or maternal discomfort, and may require further evaluation.