ATI RN
ATI Maternal Final Exam Questions
Extract:
A client undergoing an amniotomy
Question 1 of 5
A nurse is caring for a client who is to undergo an amniotomy. Which of the following is the priority nursing action following this procedure?
Correct Answer: A
Rationale: Assessing fetal heart rate post-amniotomy detects potential distress from cord compression or other complications, making it the priority action.
Extract:
A client who is at 38 weeks of gestation and has severe preeclampsia
Question 2 of 5
A nurse is completing the admission assessment of a client who is at 38 weeks of gestation and has severe preeclampsia. Which of the following is an expected finding?
Correct Answer: B
Rationale: Severe preeclampsia often causes headaches due to cerebral vasospasm and increased intracranial pressure, a common symptom requiring monitoring.
Extract:
A client 2 hr post-vaginal birth receiving lactated Ringer's with 25 units oxytocin, with large rubra lochia and BP 146/94 mm Hg
Question 3 of 5
A nurse is admitting a client who experienced a vaginal birth 2 hr ago. The client is receiving an IV of lactated Ringer's with 25 units of oxytocin infusing and has large rubra lochia. Vital signs include blood pressure 146/94 mm Hg, pulse 80/min, and respiratory rate 18/min. The nurse reviews the prescriptions from the provider. Which of the following prescriptions requires clarification?
Correct Answer: C
Rationale: Methylergonovine is contraindicated with hypertension (BP 146/94 mm Hg) due to risk of hypertensive crisis, requiring clarification.
Extract:
A client in labor with an external fetal monitor showing late decelerations
Question 4 of 5
A nurse is caring for a client who is in labor and has an external fetal monitor. The nurse observes late decelerations on the monitor strip and interprets them as indicating which of the following?
Correct Answer: A
Rationale: Late decelerations are caused by uteroplacental insufficiency, indicating reduced oxygen supply to the fetus during contractions, a concerning sign requiring intervention to improve perfusion.
Extract:
A client having a difficult, prolonged labor with severe backache
Question 5 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: A persistent occiput posterior position leads to difficult labor and backache as the fetal head's occipitofrontal diameter contacts the sacrum, causing prolonged pressure and pain.