ATI RN
ATI Maternal Final Exam Questions
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 1 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 suggest worsening conditions like HELLP syndrome or severe preeclampsia, requiring immediate reporting to prevent maternal and fetal complications.
Extract:
A client at 38 weeks of gestation experiencing polyhydramnios
Question 2 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.
Extract:
A client who is pregnant being assessed for preeclampsia
Question 3 of 5
A nurse is assessing a client who is pregnant for preeclampsia. Which of the following findings should indicate to the nurse that the client requires further evaluation for this disorder?
Correct Answer: A
Rationale: Elevated blood pressure is a key diagnostic criterion for preeclampsia, requiring further evaluation to prevent progression to severe complications.
Extract:
A client in the first stage of labor with a protruding umbilical cord
Question 4 of 5
A nurse is caring for a client who is in the first stage of labor. The nurse observes the umbilical cord protruding from the vagina. Which of the following actions should the nurse perform first?
Correct Answer: C
Rationale: The knee-chest position relieves umbilical cord pressure by shifting the uterus, preventing fetal hypoxia, making it the priority action in cord prolapse.
Extract:
A client who is a primigravida, at term, and unsure if in labor
Question 5 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: Progressive cervical dilation and effacement confirm true labor, distinguishing it from false labor contractions.