ATI RN
ATI Maternal Final Exam Questions
Extract:
A client in active labor preparing for epidural analgesia
Question 1 of 5
A nurse is preparing a client who is in active labor for epidural analgesia. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Obtaining a 30-minute EFM strip establishes a baseline fetal heart rate, ensuring fetal well-being before epidural administration.
Extract:
A client in labor with the fetus in an RSA position
Question 2 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 prescribed lithium 300 mg PO every 8 hr with 150 mg capsules available
Question 3 of 5
A nurse is preparing to administer lithium 300 mg PO every 8 hr. Available is lithium carbonate 150 mg capsules. How many capsules should the nurse administer per dose?
Correct Answer: 2 capsules
Rationale: 300 mg prescribed / 150 mg per capsule = 2 capsules per dose, a whole number requiring no rounding.
Extract:
A client in premature labor receiving terbutaline
Question 4 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 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.