ATI RN
ATI Maternal Final Exam Questions
Extract:
A client 1 day postpartum following a vaginal delivery
Question 1 of 5
A nurse is reinforcing teaching about reducing perineal infection with a client following a vaginal delivery. Which of the following should the nurse include in the teaching? (Select all that apply.)
Correct Answer: A,B,D,E
Rationale: A: Blotting dry prevents moisture buildup, reducing infection risk. B: Washing with warm water cleanses bacteria post-voiding. D: Hand hygiene prevents bacterial spread. E: Front-to-back cleaning avoids introducing anal bacteria. C is incorrect as ice packs aid comfort, not infection prevention.
Extract:
A client who is a primigravida, at term, and unsure if in labor
Question 2 of 5
A nurse is caring for a client who is a primigravida, at term, and having contractions but is stating that she is 'not really sure if she is in labor or not.' Which of the following should the nurse recognize as a sign of true labor?
Correct Answer: C
Rationale: Progressive cervical dilation and effacement confirm true labor, distinguishing it from false labor contractions.
Extract:
A newborn following a vacuum-assisted delivery
Question 3 of 5
A nurse is assessing a newborn following a vacuum-assisted delivery. Which of the following findings should the nurse report to the provider?
Correct Answer: B
Rationale: Poor sucking may indicate neurological issues or birth trauma from vacuum assistance, requiring provider evaluation, unlike expected findings like scalp edema or acrocyanosis.
Extract:
A client who experienced abruptio placentae with petechiae and bleeding around the IV access site
Question 4 of 5
A nurse on the obstetric unit is caring for a client who experienced abruptio placentae. The nurse observes petechiae and bleeding around the IV access site. The nurse should recognize that this client is at risk for which of the following complications?
Correct Answer: A
Rationale: Abruptio placentae can lead to significant bleeding, triggering disseminated intravascular coagulation (DI
C), a serious condition involving widespread clotting and bleeding. Petechiae and bleeding at the IV site are indicative of DIC due to abnormal clotting.
Extract:
A client post-amniotomy during labor
Question 5 of 5
A nurse is caring for a client who is in labor and assists the provider who performs an amniotomy. Which of the following is the priority action by the nurse following the procedure?
Correct Answer: D
Rationale: Monitoring fetal heart rate immediately post-amniotomy ensures fetal well-being, detecting any distress from the procedure, prioritizing over other assessments.