ATI RN
ATI Maternity Exam 3 Questions
Extract:
A client who is a primigravida at 42 weeks of gestation
Question 1 of 5
A nurse midwife is examining a client who is a primigravida at 42 weeks of gestation and states that she believes she is in labor. Which of the following findings confirm to the nurse that the client is in labor?
Correct Answer: D
Rationale: Cervical dilation is a definitive sign of labor progression. Pain location, amniotic fluid, and discharge are less specific indicators.
Extract:
A laboring client given narcotic analgesia at 10:00 a.m. with delivery at 10:35 a.m.
Question 2 of 5
Narcotic analgesia is administered to a laboring client at 10:00 a.m. The infant is delivered at 10:35 A.M. The nurse would anticipate that the narcotic analgesia could:
Correct Answer: C
Rationale: Narcotics given close to delivery can cross the placenta, causing neonatal respiratory depression due to limited clearance time, unlike the other incorrect effects.
Extract:
A client following a vaginal examination by the provider
Question 3 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 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 in labor
Question 5 of 5
A nurse is performing Leopold maneuvers on a client who is in labor and determines the fetus is in an ROA position. Which of the following fetal presentations should the nurse document in the client's medical record?
Correct Answer: D
Rationale: ROA (Right Occiput Anterior) indicates a vertex presentation, optimal for vaginal delivery. Shoulder, mentum, and breech are abnormal presentations.