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 indicate potential severe complications like HELLP syndrome, necessitating immediate provider notification to prevent serious outcomes.
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 who is a primigravida, at term, and unsure if in labor
Question 3 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.
Extract:
A client at 33 weeks of gestation with placenta previa
Question 4 of 5
A nurse is admitting a client who is at 33 weeks of gestation and has a diagnosis of placenta previa. Which of the following is the priority nursing action?
Correct Answer: A
Rationale: Monitoring vaginal bleeding is the priority in placenta previa to assess hemorrhage severity, ensuring maternal and fetal stability.
Extract:
A client who is gravida 1, para 0, at 38 weeks of gestation with preeclampsia
Question 5 of 5
A nurse is caring for an adolescent client who is gravida 1 and para 0. The client was admitted to the hospital at 38 weeks of gestation with a diagnosis of preeclampsia. Which of the following findings should the nurse identify as inconsistent with preeclampsia?
Correct Answer: B
Rationale: Deep tendon reflexes of +1 are normal and inconsistent with preeclampsia, which typically shows brisk or hyperactive reflexes due to CNS irritability.