ATI RN
ATI Maternal Final Exam Questions
Extract:
A client who consumed 4 oz juice, 6 oz tea, a 100 mL cup of ice chips, an IV bolus of 150 mL, and 8 oz broth
Question 1 of 5
A nurse is completing an 8-hr I&O record for a client who consumed 4 oz juice, 6 oz tea, a 100 mL cup full of ice chips, an IV bolus of 150 mL, and 8 oz broth. The nurse should record how many mL of intake on the client's record?
Correct Answer: 732 mL
Rationale: Calculating: 4 oz juice (118.294 mL) + 6 oz tea (177.441 mL) + 100 mL ice chips (50 mL, as ice melts to half volume) + 150 mL IV bolus + 8 oz broth (236.588 mL) = 732.323 mL, rounded to 732 mL.
Extract:
A client with severe preeclampsia receiving magnesium sulfate IV at 2 g/hr
Question 2 of 5
A nurse is caring for a client who has severe preeclampsia and is receiving magnesium sulfate IV at 2 g/hr. Which of the following findings indicates that it is safe for the nurse to continue the infusion?
Correct Answer: C
Rationale: A respiratory rate of 16/min indicates no respiratory depression, suggesting it is safe to continue magnesium sulfate, unlike signs of toxicity like low urine output or diminished reflexes.
Extract:
A client who is in active labor with the presenting part at 0 station
Question 3 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 means the presenting part is at the level of the maternal ischial spines, a key landmark in labor progress, indicating engagement in the pelvis.
Extract:
A client 2 hr post-spontaneous vaginal birth saturating two perineal pads in 30 min
Question 4 of 5
A nurse is caring for a client 2 hr after a spontaneous vaginal birth and the client has saturated two perineal pads with blood in a 30-min period. Which of the following is the priority nursing intervention at this time?
Correct Answer: D
Rationale: Palpating the fundus assesses for uterine atony, a common cause of excessive bleeding, guiding further interventions like oxytocic administration.
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.