ATI RN
Custom ATI Maternity Exam 2 Questions
Extract:
Client in labor receiving epidural anesthesia
Question 1 of 5
A nurse is reinforcing teaching with a client who is in labor about why epidural anesthesia is not initiated until a good labor pattern has been established. Which of the following explanations should the nurse include?
Correct Answer: Early epidural administration can interfere with labor hormones, slowing contractions and prolonging labor. It does not delay membrane rupture, cause hypertension, or depress the fetus.
Rationale:
Extract:
Client in labor
Question 2 of 5
A nurse is assisting with the care of a client who is in labor. Which of the following findings should the nurse report to the provider?
Correct Answer: A fetal heart rate of 100/min for 10 minutes indicates bradycardia, suggesting fetal distress or hypoxia, which requires immediate reporting. The other findings are within normal limits for active labor.
Rationale:
Extract:
Client in active labor with late decelerations on fetal monitor tracing
Question 3 of 5
The nurse is assisting in the care of a client who is in active labor. The nurse notes late decelerations on the fetal monitor tracing. Which of the following actions should the nurse take first?
Correct Answer: Positioning the client on her side is the first action to take as it reduces compression of the inferior vena cava and aorta, improving maternal and fetal circulation. This addresses the uteroplacental insufficiency causing late decelerations, which indicate fetal hypoxia.
Rationale:
Extract:
Client in the first stage of labor with umbilical cord protruding from the vagina
Question 4 of 5
A nurse is assisting with the care of a client who is in the first stage of labor. The nurse observes the umbilical cord protruding from the vagina. Which of the following actions should the nurse take first?
Correct Answer: Placing the client in a knee-chest or Trendelenburg position is the priority to relieve pressure on the prolapsed cord, restoring blood flow to the fetus and preventing hypoxia. This addresses the immediate risk of cord compression.
Rationale:
Extract:
Client out of bed for the first time since delivery, passes a large amount of lochia
Question 5 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: