ATI RN
ATI Maternity Exam 3 Questions
Extract:
A client who is in active labor
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: C
Rationale: A 30-minute EFM strip and Lactated Ringers bolus ensure fetal wellbeing and hydration before epidural. Dextrose risks overload, duration varies, and standing is impractical.
Extract:
A client is breastfeeding her newborn.
Question 2 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.
Extract:
A client who has rubella at the time of delivery
Question 3 of 5
A nurse is caring for a client who has rubella at the time of delivery and asks why her newborn is being placed in isolation. Which of the following responses by the nurse is appropriate?
Correct Answer: D
Rationale: Newborns of mothers with rubella may shed the virus, requiring isolation to prevent spread. Encephalitis, immune suppression, and TORCH categorization are not the primary reasons.
Extract:
Caring for a premature infant.
Question 4 of 5
In caring for the premature infant, the nurse must continually assess hydration status. Parameters to assess would include all of the following except:
Correct Answer: D
Rationale: Blood pH reflects acid-base balance, not hydration, unlike weight, stool, and urine which directly indicate fluid status.
Extract:
A client who is in active labor
Question 5 of 5
A nurse is assessing a client who is in active labor and notes that the presenting part is at 0 station. Which of the following is the correct interpretation of this clinical finding?
Correct Answer: B
Rationale: Station 0 means the presenting part is at the ischial spines level. Outlet passage, fontanel palpation, and head position are unrelated to station.