ATI RN
Custom ATI Maternity Exam 2 Questions
Extract:
Client who is pregnant receiving dinoprostone gel
Question 1 of 5
A nurse is preparing to administer dinoprostone gel to a client who is pregnant. The client asks the nurse about the purpose of the medication. Which of the following responses should the nurse make?
Correct Answer: Dinoprostone is a prostaglandin used for cervical ripening, softening the cervix to prepare for labor induction. It does not primarily increase contraction frequency, reduce infection risk, or alleviate labor pain.
Rationale:
Extract:
Client in labor, vaginal examination documented as: 3 cm, 30%, and -1
Question 2 of 5
A nurse is assisting in the care of a client who is in labor. The doctor documents the vaginal examination as: 3 cm, 30%, and -1. The nurse evaluates this documentation to mean which of the following?
Correct Answer: The documentation indicates 3 cm dilation, 30% effacement, and the presenting part 1 cm above the ischial spines (-1 station), reflecting early labor progress.
Rationale:
Extract:
Client out of bed for the first time since delivery, passes a large amount of lochia
Question 3 of 5
A nurse is assisting a client out of bed for the first time since delivery. The client becomes frightened when she passes a large amount of lochia. Which of the following responses should the nurse make?
Correct Answer: Lochia can pool in the vagina while lying down and gush out upon standing, which is normal. The nurse should reassure the client that this is expected and not indicative of complications.
Rationale:
Extract:
Postpartum client who saturates a perineal pad in 10 min
Question 4 of 5
A nurse is caring for a postpartum client who saturates a perineal pad in 10 min. Which of the following actions should the nurse take first?
Correct Answer: Massaging the fundus is the priority to address potential uterine atony, the most common cause of postpartum hemorrhage, by promoting uterine contraction to reduce bleeding.
Rationale:
Extract:
Client receiving oxytocin via IV infusion following a vaginal delivery
Question 5 of 5
A nurse is assisting with the care of a client who is receiving oxytocin via IV infusion following a vaginal delivery. Which of the following findings should the nurse monitor to evaluate effectiveness of this medication?
Correct Answer: Fundal consistency is the best indicator of oxytocin effectiveness. Oxytocin promotes uterine contractions to prevent postpartum hemorrhage. A firm, midline fundus indicates the uterus is contracting properly.
Rationale: