ATI RN
ATI Maternity Exam 3 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: D
Rationale: Checking the cervix before analgesics ensures timely administration without delaying delivery. Catheters increase infection risk, bedrest limits mobility, and FHR monitoring should be more frequent.
Extract:
A client who is in active labor and notes late decelerations on the fetal monitor
Question 2 of 5
A nurse is caring for a client who is in active labor and notes late decelerations on the fetal monitor. Which of the following is the priority nursing action?
Correct Answer: A
Rationale: Positioning on the side improves uteroplacental blood flow, addressing late decelerations caused by insufficiency. Leg elevation, IV fluids, and oxygen are secondary actions.
Extract:
A client who is at 39 weeks of gestation
Question 3 of 5
A nurse in a prenatal clinic is caring for a client who is at 39 weeks of gestation and who asks about the signs that precede the onset of labor. Which of the following should the nurse identify as a sign that precedes labor?
Correct Answer: A
Rationale: A surge of energy, or nesting instinct, often precedes labor. Urinary retention, decreased discharge, and late weight gain are not typical pre-labor signs.
Extract:
Post-term fetal risks.
Question 4 of 5
Post-term fetal risks include all of the following, EXCEPT:
Correct Answer: C
Rationale: Cord prolapse is not a post-term risk but is associated with other factors like prematurity or breech presentation, unlike macrosomia, IUGR, and MAS, which are linked to post-term pregnancies.
Extract:
A client who is in active labor at 7 cm of cervical dilation and 100% effacement
Question 5 of 5
A nurse is caring for a client who is in active labor and has just been examined as being at 7 cm of cervical dilation and 100% effacement. The fetus is at 1+ station, and the client's amniotic membranes are intact. The client suddenly states that she needs to push. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Panting or blowing prevents premature pushing at 7 cm, reducing cervical swelling risk. Comfort positioning, crowning observation, or bladder emptying are not appropriate yet.