ATI RN
ATI Maternity Exam 3 Questions
Extract:
A client who is at 22 weeks of gestation
Question 1 of 5
A nurse is preparing to measure the fundal height of a client who is at 22 weeks of gestation. At which location should the nurse expect to palpate the fundus?
Correct Answer: C
Rationale: At 22 weeks, the fundus is approximately 2 cm above the umbilicus, aligning with gestational age progression. Other locations are incorrect for this stage.
Extract:
A client following a vaginal examination by the provider
Question 2 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: C
Rationale: A documentation of '1' indicates 1 cm cervical dilation. Station is noted as +/- cm relative to ischial spines, and effacement is in percentages.
Extract:
A client during a nonstress test (NST)
Question 3 of 5
A nurse is caring for a client during a nonstress test (NST). At the end of a 30-min period of observation, the nurse notes the following findings: The fetal heart rate baseline is 120/min with minimal variability and no accelerations. There are two decelerations of 15/min in the fetal heart rate during a period of fetal movement, each lasting 20 seconds. Which of the following interpretations of these findings should the nurse make?
Correct Answer: D
Rationale: No accelerations and minimal variability indicate a nonreactive NST, suggesting potential fetal compromise needing further evaluation. Reactive tests require accelerations; negative/positive aren't NST terms.
Extract:
A client who is in active labor at 7 cm of cervical dilation and 100% effacement
Question 4 of 5
A nurse is caring for a client who is in active labor and has just been examined as being at 7 cm of cervical dilation and 100% effacement. The fetus is at 1+ station, and the client's amniotic membranes are intact. The client suddenly states that she needs to push. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Panting or blowing prevents premature pushing at 7 cm, reducing cervical swelling risk. Comfort positioning, crowning observation, or bladder emptying are not appropriate yet.
Extract:
A client who is at 7 weeks of gestation
Question 5 of 5
A nurse in a prenatal clinic is caring for a client who is at 7 weeks of gestation. The client reports urinary frequency and asks if this will continue until delivery. Which of the following responses should the nurse make?
Correct Answer: A
Rationale: Urinary frequency occurs in the first trimester due to hormonal changes and late pregnancy from uterine pressure. Dismissing it, unpredictability, or blaming bladder tone are incorrect.