ATI RN
ATI Maternity Exam 3 Questions
Extract:
A client who is in labor
Question 1 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:
Assessing the umbilical cord before applying a clamp.
Question 2 of 5
Before applying a cord clamp, the nurse assesses the umbilical cord for vessels. The nurse expects to find:
Correct Answer: A
Rationale: The umbilical cord normally has two arteries and one vein, ensuring proper fetal circulation, unlike abnormal variations in other options.
Extract:
Clients who are pregnant
Question 3 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 who is gravida 3, para 2, and is in active labor
Question 4 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: A 3+ station indicates imminent delivery, so observing for crowning prepares for birth. Nuchal cord checks, oxytocin, or fundal pressure are inappropriate at this stage.
Extract:
A client who might be pregnant
Question 5 of 5
A nurse in a prenatal clinic is caring for a client who states that she might be pregnant because she feels the baby moving. How does the nurse classify this statement by the client?
Correct Answer: A
Rationale: Quickening is a subjective, presumptive sign of pregnancy, not definitive like positive signs (e.g., ultrasound) or objective probable signs (e.g., pregnancy test).