ATI RN
ATI Maternity Exam 3 Questions
Extract:
A postpartum client with a fourth-degree perineal laceration.
Question 1 of 5
A postpartum client has a fourth-degree perineal laceration. The nurse would expect which of the following medications to be ordered?
Correct Answer: A
Rationale: Docusate sodium prevents constipation, reducing strain on the severe laceration to aid healing, unlike the other medications which address unrelated issues.
Extract:
A client who is 42 weeks of gestation
Question 2 of 5
A nurse is caring for a client who is 42 weeks of gestation. Based on the assessment findings, which of the following actions should the nurse plan to take?
Correct Answer: B,C,D
Rationale: For post-term pregnancy with potential distress, IV fluids, side-lying position, and oxygen improve perfusion and oxygenation. Increasing oxytocin risks distress, and SVE isn't urgent.
Extract:
Reviewing causes of late postpartum hemorrhage.
Question 3 of 5
When reviewing the causes of late postpartum hemorrhage, which of the following would the nurse identify as the most common cause?
Correct Answer: A
Rationale: Retained placental fragments are the most common cause of late postpartum hemorrhage, disrupting uterine involution, unlike lacerations, inversion, or atony which are less frequent.
Extract:
A client who is experiencing an especially rapid labor (precipitous labor)
Question 4 of 5
A nurse in the emergency department is admitting a client who is experiencing an especially rapid labor (precipitous labor). She is at 40 weeks of gestation, has ruptured membranes, and the nurse observes the newborn's head crowning. The client tells the nurse she feels a strong urge to push. Which of the following instructions should the nurse make to help the mother have a more controlled birth?
Correct Answer: C
Rationale: Panting or blowing during crowning slows delivery, reducing perineal trauma in precipitous labor. Deep breathing, hard pushing, or slow breathing risk rapid birth.
Extract:
A client during a nonstress test (NST)
Question 5 of 5
A nurse is caring for a client during a nonstress test (NST). At the end of a 30-min period of observation, the nurse notes the following findings: The fetal heart rate baseline is 120/min with minimal variability and no accelerations. There are two decelerations of 15/min in the fetal heart rate during a period of fetal movement, each lasting 20 seconds. Which of the following interpretations of these findings should the nurse make?
Correct Answer: D
Rationale: No accelerations and minimal variability indicate a nonreactive NST, suggesting potential fetal compromise needing further evaluation. Reactive tests require accelerations; negative/positive aren't NST terms.