ATI RN
ATI NUR270A Maternity Exam Questions
Extract:
Client in 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 interventions should the nurse assist with?
Correct Answer: C
Rationale: Counterpressure to the sacrum relieves back pain, especially in occiput posterior positions.
Extract:
Client receiving epidural analgesia during labor.
Question 2 of 5
A nurse is caring for a client who is receiving epidural analgesia during labor. Which of the following symptoms should the nurse report to the physician?
Correct Answer: D
Rationale: Fetal bradycardia indicates distress, requiring immediate physician notification.
Extract:
Fetus with occiput facing left maternal spine, mother with back labor pain.
Question 3 of 5
Using Leopold's Maneuvers, the fetus is found to be with its occiput facing toward the left maternal spine. The mother is complaining of increased back labor pain. The nurse knows that the fetus is in which position?
Correct Answer: C
Rationale: Left occiput posterior position causes back labor pain due to the occiput pressing against the maternal spine.
Extract:
Client in active labor with persistent late decelerations.
Question 4 of 5
A nurse is caring for a client who is in active labor and notes persistent late decelerations on the fetal monitor. Which of the following are the priority nursing actions? (Select all that apply.)
Correct Answer: B,D,F
Rationale: Notifying the provider, repositioning to side-lying, and administering oxygen address fetal distress by improving oxygenation.
Extract:
Client in labor, 2 cm dilated, 60% effaced, -2 station.
Question 5 of 5
A client arrives in labor and delivery, and the L&D primary nurse gets a report from the L&D triage nurse. How does the primary nurse interpret the following information on the client's labor: 2 cm, 60%, and -2 station?
Correct Answer: B
Rationale: 2 cm dilation, 60% effacement, and -2 station indicate the fetus is 2 cm above the ischial spines.