ATI RN
ATI Maternal Final Exam Questions
Extract:
A client prescribed enoxaparin 30 mg subcutaneously with 40 mg/mL available
Question 1 of 5
A nurse is caring for a client who is to receive enoxaparin 30 mg subcutaneously. Available is enoxaparin 40 mg/mL. How many mL should the nurse administer?
Correct Answer: 0.8 mL
Rationale: 30 mg / 40 mg/mL = 0.75 mL, rounded to 0.8 mL per the nearest tenth as instructed.
Extract:
A client having a difficult, prolonged labor with severe backache
Question 2 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 with severe preeclampsia at 35 weeks of gestation
Question 3 of 5
A nurse is admitting a client who has severe preeclampsia at 35 weeks of gestation and is reviewing the provider's orders. Which of the following orders requires clarification?
Correct Answer: A
Rationale: Ambulation is contraindicated in severe preeclampsia due to seizure risk; bed rest is typically prescribed, requiring clarification of this order.
Extract:
A client who is at 39 weeks of gestation and in active labor
Question 4 of 5
A nurse is creating the plan of care for a client who is at 39 weeks of gestation and in active labor. Which of the following actions should the nurse include in the plan of care?
Correct Answer: C
Rationale: Checking the cervix before analgesic administration ensures appropriate timing, as giving analgesics at full dilation risks neonatal depression. Continuous FHR monitoring is preferred over hourly.
Extract:
A client at 38 weeks of gestation experiencing polyhydramnios
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 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.