ATI RN
ATI Maternal Final Exam Questions
Extract:
A client who experienced abruptio placentae with petechiae and bleeding around the IV access site
Question 1 of 5
A nurse on the obstetric unit is caring for a client who experienced abruptio placentae. The nurse observes petechiae and bleeding around the IV access site. The nurse should recognize that this client is at risk for which of the following complications?
Correct Answer: A
Rationale: Abruptio placentae can lead to significant bleeding, triggering disseminated intravascular coagulation (DI
C), a serious condition involving widespread clotting and bleeding. Petechiae and bleeding at the IV site are indicative of DIC due to abnormal clotting.
Extract:
A client having a difficult, prolonged labor with severe backache
Question 2 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 newborn following a vacuum-assisted delivery
Question 3 of 5
A nurse is assessing a newborn following a vacuum-assisted delivery. Which of the following findings should the nurse report to the provider?
Correct Answer: B
Rationale: Poor sucking may indicate neurological issues or birth trauma from vacuum assistance, requiring provider evaluation, unlike expected findings like scalp edema or acrocyanosis.
Extract:
A client at 38 weeks of gestation experiencing polyhydramnios
Question 4 of 5
A nurse is caring for a client who was admitted to the maternity unit at 38 weeks of gestation and who is experiencing polyhydramnios. The nurse should understand that this diagnosis means which of the following?
Correct Answer: D
Rationale: Polyhydramnios is defined as an excessive amount of amniotic fluid, which can lead to complications like preterm labor or postpartum hemorrhage, often associated with maternal or fetal conditions.
Extract:
A client at 28 weeks of gestation receiving terbutaline
Question 5 of 5
A nurse is caring for a client who is at 28 weeks of gestation and received terbutaline. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: Terbutaline, a tocolytic, relaxes uterine smooth muscle to inhibit preterm labor, so weakened uterine contractions are an expected effect of its administration.