ATI RN
ATI Maternal Final Exam Questions
Extract:
A client having a difficult, prolonged labor with severe backache
Question 1 of 5
A nurse on the labor and delivery unit is caring for a client who is having a difficult, prolonged labor with severe backache. Which of the following contributing causes should the nurse identify?
Correct Answer: D
Rationale: A persistent occiput posterior position leads to difficult labor and backache as the fetal head's occipitofrontal diameter contacts the sacrum, causing prolonged pressure and pain.
Extract:
A client in active labor with late decelerations on the fetal monitor
Question 2 of 5
A nurse is caring for a client who is in active labor and notes late decelerations on the fetal monitor. Which of the following is the priority nursing action?
Correct Answer: C
Rationale: Late decelerations indicate uteroplacental insufficiency. Positioning the client on her side, preferably left lateral, improves placental perfusion by relieving vena cava compression, making it the priority action.
Extract:
A client at 37 weeks of gestation with placenta previa
Question 3 of 5
A nurse is caring for a client who is at 37 weeks of gestation and has placenta previa. The client asks the nurse why the provider does not do an internal examination. Which of the following explanations of the primary reason should the nurse provide?
Correct Answer: D
Rationale: Internal examinations in placenta previa risk dislodging the placenta, causing severe bleeding, which is the primary reason to avoid them.
Extract:
A client who is gravida 1, para 0, at 38 weeks of gestation with preeclampsia
Question 4 of 5
A nurse is caring for an adolescent client who is gravida 1 and para 0. The client was admitted to the hospital at 38 weeks of gestation with a diagnosis of preeclampsia. Which of the following findings should the nurse identify as inconsistent with preeclampsia?
Correct Answer: B
Rationale: Deep tendon reflexes of +1 are normal and inconsistent with preeclampsia, which typically shows brisk or hyperactive reflexes due to CNS irritability.
Extract:
A client scheduled for a cesarean birth due to fetal lung maturity
Question 5 of 5
A nurse is caring for a client who is scheduled for a cesarean birth based upon the fetal lungs having reached maturity. Which of the following findings indicates that the fetal lungs are mature?
Correct Answer: A
Rationale: An L/S ratio of 2:1 indicates fetal lung maturity, as it shows sufficient surfactant for adequate lung function post-birth.