ATI RN
ATI Maternal Final Exam Questions
Extract:
A client in labor with the fetus in an RSA position
Question 1 of 5
A nurse is performing Leopold maneuvers on a client who is in labor and determines the fetus is in an RSA position. Which of the following fetal presentations should the nurse document in the client's medical record?
Correct Answer: D
Rationale: RSA (right sacrum anterior) indicates a breech presentation, where the fetus's sacrum is the presenting part, facing the mother's right anterior side.
Extract:
A client in premature labor receiving terbutaline
Question 2 of 5
A nurse is caring for a client who is in premature labor and is receiving terbutaline. The nurse should monitor the client for which of the following adverse effects that should be reported to the provider?
Correct Answer: A
Rationale: Dyspnea may indicate pulmonary edema, a serious terbutaline side effect, requiring immediate provider notification, unlike common side effects like tremors.
Extract:
A client at 38 weeks of gestation experiencing polyhydramnios
Question 3 of 5
A nurse is caring for a client who was admitted to the maternity unit at 38 weeks of gestation and who is experiencing polyhydramnios. The nurse should understand that this diagnosis means which of the following?
Correct Answer: D
Rationale: Polyhydramnios refers to an excessive accumulation of amniotic fluid, potentially causing complications such as preterm labor or maternal discomfort, and may require further evaluation.
Extract:
A client post-vaginal examination with a -1 station finding
Question 4 of 5
A nurse on the labor and delivery unit is caring for a client following a vaginal examination by the provider which is documented as: -1. Which of the following interpretations of this finding should the nurse make?
Correct Answer: A
Rationale: A -1 station means the presenting part is 1 cm above the ischial spines, indicating the fetus is not yet fully engaged in the pelvis.
Extract:
A client at 33 weeks of gestation with placenta previa
Question 5 of 5
A nurse is admitting a client who is at 33 weeks of gestation and has a diagnosis of placenta previa. Which of the following is the priority nursing action?
Correct Answer: A
Rationale: Monitoring vaginal bleeding is the priority in placenta previa to assess hemorrhage severity, ensuring maternal and fetal stability.