ATI RN
Custom ATI Maternity Exam 2 Questions
Extract:
Client requesting to go to the bathroom immediately after a vaginal birth
Question 1 of 5
A nurse is caring for a client who is requesting to go to the bathroom immediately after a vaginal birth. Which of the following actions should the nurse take?
Correct Answer: Assisting the client to the bathroom and assessing lochia is the best action. It ensures safety due to potential weakness post-delivery and allows monitoring of lochia for signs of excessive bleeding or infection, which is critical in the immediate postpartum period.
Rationale:
Question 2 of 5
A nurse is caring for a client who is requesting to go to the bathroom immediately after a vaginal birth. Which of the following actions should the nurse take?
Correct Answer: Assisting the client to the bathroom and assessing lochia is the best action. It ensures safety due to potential weakness post-delivery and allows monitoring of lochia for signs of excessive bleeding or infection, which is critical in the immediate postpartum period.
Rationale:
Extract:
Client at 39 weeks of gestation with heavy vaginal bleeding
Question 3 of 5
A nurse is assisting with the admission of a client who is at 39 weeks of gestation and has heavy vaginal bleeding. Which of the following actions should the nurse take?
Correct Answer: Heavy vaginal bleeding at 39 weeks suggests conditions like placental abruption or placenta previa, necessitating preparation for a cesarean birth to ensure maternal and fetal safety.
Rationale:
Extract:
Client in labor, vaginal examination documented as: 3 cm, 30%, and -1
Question 4 of 5
A nurse is assisting in the care of a client who is in labor. The doctor documents the vaginal examination as: 3 cm, 30%, and -1. The nurse evaluates this documentation to mean which of the following?
Correct Answer: The documentation indicates 3 cm dilation, 30% effacement, and the presenting part 1 cm above the ischial spines (-1 station), reflecting early labor progress.
Rationale:
Extract:
Client who is 12 hr postpartum following a spontaneous vaginal delivery
Question 5 of 5
A nurse is collecting data from a client who is 12 hr postpartum following a spontaneous vaginal delivery. The nurse should expect to find the uterine fundus at which of the following positions on the client's abdomen?
Correct Answer: At 12 hours postpartum, the uterine fundus is expected to be at or slightly below the umbilicus, indicating normal uterine involution. Deviations may suggest complications like a full bladder or uterine atony.
Rationale: