ATI RN
ATI Maternity Exam 3 Questions
Extract:
A client who is at 40 weeks of gestation and is in labor
Question 1 of 5
A nurse is observing the electronic fetal heart rate monitor tracing for a client who is at 40 weeks of gestation and is in labor. The nurse should suspect a problem with the umbilical cord when he observes which of the following patterns?
Correct Answer: A
Rationale: Variable decelerations indicate umbilical cord compression, reducing fetal blood flow. Late decelerations suggest uteroplacental insufficiency, accelerations are normal, and early decelerations relate to head compression.
Extract:
A client who is in labor
Question 2 of 5
A nurse is performing Leopold maneuvers on a client who is in labor and determines the fetus is in an ROA position. Which of the following fetal presentations should the nurse document in the client's medical record?
Correct Answer: D
Rationale: ROA (Right Occiput Anterior) indicates a vertex presentation, optimal for vaginal delivery. Shoulder, mentum, and breech are abnormal presentations.
Extract:
A client whose laboratory findings indicate a negative rubella titer
Question 3 of 5
A nurse is caring for an antepartum client whose laboratory findings indicate a negative rubella titer. Which of the following is the correct interpretation of this data?
Correct Answer: C
Rationale: A negative rubella titer indicates non-immunity, requiring immunization post-delivery to protect future pregnancies. Vaccination during pregnancy is unsafe, it doesn't confirm no infection, and immunity is absent.
Extract:
Clients who are pregnant
Question 4 of 5
A nurse in a clinic is reviewing the medical records of a group of clients who are pregnant. The nurse should anticipate the provider will order a maternal serum alpha-fetoprotein (MSAFP) screening for which of the following clients?
Correct Answer: A
Rationale: MSAFP screening is routine for all pregnant women at 15-20 weeks to detect neural tube defects and chromosomal issues, regardless of specific histories.
Extract:
A client is breastfeeding her newborn.
Question 5 of 5
A client who is breastfeeding her newborn tells the nurse, 'I notice that when I feed him, I feel fairly strong contraction-like pain. Labor is over. Why am I having contractions now?' Which response by the nurse would be most appropriate?
Correct Answer: D
Rationale: Breastfeeding stimulates oxytocin release, triggering uterine contractions to aid involution, a normal postpartum process, unlike the other options which suggest complications or irrelevant actions.