ATI RN
ATI Maternal Final Exam Questions
Extract:
A client post-vaginal examination with a -1 station finding
Question 1 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: A
Rationale: A -1 station means the presenting part is 1 cm above the ischial spines, indicating the fetus is not yet fully engaged in the pelvis.
Extract:
A client in labor with an external fetal monitor showing late decelerations
Question 2 of 5
A nurse is caring for a client who is in labor and has an external fetal monitor. The nurse observes late decelerations on the monitor strip and interprets them as indicating which of the following?
Correct Answer: A
Rationale: Late decelerations are caused by uteroplacental insufficiency, indicating reduced oxygen supply to the fetus during contractions, a concerning sign requiring intervention to improve perfusion.
Extract:
A client receiving opioid epidural analgesia during labor
Question 3 of 5
A nurse is caring for a client who is receiving opioid epidural analgesia during labor. Which of the following findings is the nurse's priority?
Correct Answer: B
Rationale: Hypotension (80/56 mm Hg) is a critical side effect of epidural analgesia due to sympathetic blockade, potentially reducing perfusion to the mother and fetus, making it the priority for immediate intervention.
Extract:
A client who is pregnant being assessed for preeclampsia
Question 4 of 5
A nurse is assessing a client who is pregnant for preeclampsia. Which of the following findings should indicate to the nurse that the client requires further evaluation for this disorder?
Correct Answer: A
Rationale: Elevated blood pressure is a key diagnostic criterion for preeclampsia, requiring further evaluation to prevent progression to severe complications.
Extract:
A client prescribed lithium 300 mg PO every 8 hr with 150 mg capsules available
Question 5 of 5
A nurse is preparing to administer lithium 300 mg PO every 8 hr. Available is lithium carbonate 150 mg capsules. How many capsules should the nurse administer per dose?
Correct Answer: 2 capsules
Rationale: 300 mg prescribed / 150 mg per capsule = 2 capsules per dose, a whole number requiring no rounding.