ATI RN
ATI Maternal Final Exam Questions
Extract:
A client who is at 39 weeks of gestation and in active labor
Question 1 of 5
A nurse is creating the plan of care for a client who is at 39 weeks of gestation and in active labor. Which of the following actions should the nurse include in the plan of care?
Correct Answer: C
Rationale: Checking the cervix before analgesic administration ensures appropriate timing, as giving analgesics at full dilation risks neonatal depression. Continuous FHR monitoring is preferred over hourly.
Extract:
A client who is gravida 3, para 2, in active labor with fetal head at 3+ station
Question 2 of 5
A nurse is caring for a client who is gravida 3, para 2, and is in active labor. The fetal head is at 3+ station after a vaginal examination. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: At 3+ station, the fetal head is low in the birth canal, and crowning may occur soon, indicating imminent delivery, requiring observation.
Extract:
A client in the active phase of the first stage of labor with uterine contractions
Question 3 of 5
A nurse is caring for a client who is in the active phase of the first stage of labor. When monitoring the uterine contractions, which of the following findings should the nurse report to the provider?
Correct Answer: D
Rationale: Contractions longer than 90 seconds suggest hyperstimulation, risking fetal hypoxia, requiring immediate provider notification for management.
Extract:
A client who is 2 hours postpartum following a cesarean birth with a history of thromboembolic disease
Question 4 of 5
A nurse is planning care for a client who is 2 hours postpartum following a cesarean birth. The client has a history of thromboembolic disease. Which of the following nursing interventions should be included in the plan of care?
Correct Answer: A
Rationale: Early ambulation reduces venous stasis and prevents thromboembolism in clients with a history of thromboembolic disease, unlike contraindicated actions like leg massage.
Extract:
A client in labor with an external fetal monitor showing late decelerations
Question 5 of 5
A nurse is caring for a client who is in labor and has an external fetal monitor. The nurse observes late decelerations on the monitor strip and interprets them as indicating which of the following?
Correct Answer: A
Rationale: Late decelerations are caused by uteroplacental insufficiency, indicating reduced oxygen supply to the fetus during contractions, a concerning sign requiring intervention to improve perfusion.