ATI RN
ATI Maternal Final Exam Questions
Extract:
A newborn whose mother is positive for the hepatitis B surface antigen
Question 1 of 5
A nurse is caring for a newborn whose mother is positive for the hepatitis B surface antigen. Which of the following should the infant receive?
Correct Answer: B
Rationale: Administering hepatitis B immune globulin and vaccine within 12 hours of birth provides passive and active immunity to prevent hepatitis B transmission from an HBsAg-positive mother.
Extract:
A client in labor with an epidural anesthesia block, BP 80/40 mm Hg, and fetal heart rate 140/min
Question 2 of 5
A nurse is caring for a client who is in labor and has an epidural anesthesia block. The client's blood pressure is 80/40 mm Hg and the fetal heart rate is 140/min. Which of the following is the priority nursing action?
Correct Answer: D
Rationale: Placing the client in a lateral position relieves vena cava compression, improving blood pressure and perfusion, addressing hypotension from epidural anesthesia.
Extract:
A client who is at 38 weeks of gestation and in the first stage of labor
Question 3 of 5
A nurse is admitting a client who is at 38 weeks of gestation and is in the first stage of labor. Which of the following assessment findings should the nurse report to the provider first?
Correct Answer: B
Rationale: Continuous contractions lasting 2 minutes suggest uterine hyperstimulation, risking fetal hypoxia, and require immediate provider notification for intervention.
Extract:
A client who experienced a cesarean birth 4 hr ago and reports pain, a client with preeclampsia, or a client post-vaginal birth
Question 4 of 5
A nurse receives report about assigned clients at the start of the shift. Which of the following clients should the nurse plan to see first?
Correct Answer: B
Rationale: A client 4 hours post-cesarean with pain requires immediate attention for pain management and to assess for complications, prioritizing over stable or less urgent cases.
Extract:
A client who is in active labor with the presenting part at 0 station
Question 5 of 5
A nurse is assessing a client who is in active labor and notes that the presenting part is at 0 station. Which of the following is the correct interpretation of this clinical finding?
Correct Answer: B
Rationale: 0 station indicates the presenting part is aligned with the ischial spines, signifying the fetus is engaged in the pelvis, a critical point in labor progression.