ATI RN
ATI Maternity Exam 3 Questions
Extract:
A client who is lying supine in her bed and reports painful contractions
Question 1 of 5
A nurse on a labor unit is admitting a client who is lying supine in her bed and reports painful contractions. The nurse determines that the contractions have a duration of 1 min and a frequency of 3 min. The nurse obtains the following vital signs: fetal heart rate 130/min, maternal heart rate 128/min, and maternal blood pressure 82/54 mm Hg. Which of the following is the first priority action for the nurse to take?
Correct Answer: A
Rationale: Supine hypotension causes low blood pressure (82/54 mm Hg); repositioning to the left side or elevating a hip relieves vena cava compression, improving blood flow. Notification, pain meds, and bladder emptying are secondary.
Extract:
A client who is experiencing an especially rapid labor (precipitous labor)
Question 2 of 5
A nurse in the emergency department is admitting a client who is experiencing an especially rapid labor (precipitous labor). She is at 40 weeks of gestation, has ruptured membranes, and the nurse observes the newborn's head crowning. The client tells the nurse she feels a strong urge to push. Which of the following instructions should the nurse make to help the mother have a more controlled birth?
Correct Answer: C
Rationale: Panting or blowing during crowning slows delivery, reducing perineal trauma in precipitous labor. Deep breathing, hard pushing, or slow breathing risk rapid birth.
Extract:
A client who is in labor
Question 3 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: A
Rationale: Fetal heart rate assessment post-amniotomy detects distress from cord compression. Underpads, fluid odor, and temperature are secondary priorities.
Extract:
A client who is receiving epidural analgesia during labor
Question 4 of 5
A nurse is caring for a client who is receiving epidural analgesia during labor. Which of the following findings is the nurse's first priority?
Correct Answer: D
Rationale: Hypotension (80/52 mm Hg) from epidural vasodilation risks fetal oxygenation, making it the priority. Fever, numbness, and itching are less urgent.
Extract:
To prevent late postpartum hemorrhage.
Question 5 of 5
Which of the following would be essential to implement to prevent late postpartum hemorrhage?
Correct Answer: A
Rationale: Inspecting the placenta ensures no fragments remain, preventing late hemorrhage, unlike risky manual removal, unnecessary antibiotics, or early-stage traction.