ATI RN
Custom ATI Maternity Exam 2 Questions
Extract:
Client with preeclampsia reporting epigastric pain and unresolved headache
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 RN immediately?
Correct Answer: Epigastric pain and unresolved headache in preeclampsia indicate severe disease, potentially progressing to eclampsia, requiring immediate reporting. The other findings are less urgent or expected.
Rationale:
Extract:
Client following a cesarean birth, reports being hungry
Question 2 of 5
A nurse is caring for a client following a cesarean birth. The client tells the nurse that she is hungry. Which of the following actions should the nurse take first?
Correct Answer: Auscultating the abdomen for bowel sounds is the priority to confirm the return of peristalsis post-cesarean, ensuring the client can tolerate oral intake without complications.
Rationale:
Extract:
Client out of bed for the first time since delivery, passes a large amount of lochia
Question 3 of 5
A nurse is assisting a client out of bed for the first time since delivery. The client becomes frightened when she passes a large amount of lochia. Which of the following responses should the nurse make?
Correct Answer: Lochia can pool in the vagina while lying down and gush out upon standing, which is normal. The nurse should reassure the client that this is expected and not indicative of complications.
Rationale:
Extract:
Client in labor, vaginal examination documented as: 3 cm, 30%, and -1
Question 4 of 5
A nurse is assisting in the care of a client who is in labor. The doctor documents the vaginal examination as: 3 cm, 30%, and -1. The nurse evaluates this documentation to mean which of the following?
Correct Answer: The documentation indicates 3 cm dilation, 30% effacement, and the presenting part 1 cm above the ischial spines (-1 station), reflecting early labor progress.
Rationale:
Extract:
Postpartum client who saturates a perineal pad in 10 min
Question 5 of 5
A nurse is caring for a postpartum client who saturates a perineal pad in 10 min. Which of the following actions should the nurse take first?
Correct Answer: Massaging the fundus is the priority to address potential uterine atony, the most common cause of postpartum hemorrhage, by promoting uterine contraction to reduce bleeding.
Rationale: