ATI RN
ATI Maternal Final Exam Questions
Extract:
A client scheduled for a cesarean birth due to fetal lung maturity
Question 1 of 5
A nurse is caring for a client who is scheduled for a cesarean birth based upon the fetal lungs having reached maturity. Which of the following findings indicates that the fetal lungs are mature?
Correct Answer: A
Rationale: An L/S ratio of 2:1 indicates fetal lung maturity, as it shows sufficient surfactant for adequate lung function post-birth.
Extract:
A client who is a primigravida, at term, and unsure if in labor
Question 2 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: Cervical dilation and effacement are definitive signs of true labor, indicating active progression toward childbirth.
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 newborn following a vacuum-assisted delivery
Question 5 of 5
A nurse is assessing a newborn following a vacuum-assisted delivery. Which of the following findings should the nurse report to the provider?
Correct Answer: B
Rationale: Poor sucking may indicate neurological issues or birth trauma from vacuum assistance, requiring provider evaluation, unlike expected findings like scalp edema or acrocyanosis.