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: Persistent occiput posterior position causes prolonged labor and severe backache due to the fetal head's large diameter pressing against the maternal sacrum, increasing discomfort.
Extract:
A client in labor with contractions 4 min apart
Question 2 of 5
A nurse receives report about a client who is in labor and is having contractions 4 min apart. Which of the following patterns should the nurse expect on the fetal monitoring tracing?
Correct Answer: B
Rationale: Contractions every 4 minutes with 60 seconds duration and 3-minute rest are typical for active labor, reflecting regular, effective contractions.
Extract:
A client with severe preeclampsia receiving magnesium sulfate IV at 2 g/hr
Question 3 of 5
A nurse is caring for a client who has severe preeclampsia and is receiving magnesium sulfate IV at 2 g/hr. Which of the following findings indicates that it is safe for the nurse to continue the infusion?
Correct Answer: C
Rationale: A respiratory rate of 16/min indicates no respiratory depression, suggesting it is safe to continue magnesium sulfate, unlike signs of toxicity like low urine output or diminished reflexes.
Extract:
A client in active labor preparing for epidural analgesia
Question 4 of 5
A nurse is preparing a client who is in active labor for epidural analgesia. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Obtaining a 30-minute EFM strip establishes a baseline fetal heart rate, ensuring fetal well-being before epidural administration.
Extract:
A client 2 hr post-spontaneous vaginal birth saturating two perineal pads in 30 min
Question 5 of 5
A nurse is caring for a client 2 hr after a spontaneous vaginal birth and the client has saturated two perineal pads with blood in a 30-min period. Which of the following is the priority nursing intervention at this time?
Correct Answer: D
Rationale: Palpating the fundus assesses for uterine atony, a common cause of excessive bleeding, guiding further interventions like oxytocic administration.