ATI RN
ATI Maternity Exam 3 Questions
Extract:
A woman at 32 weeks' gestation with a fundal height measurement of 26 centimeters.
Question 1 of 5
A woman is at 32 weeks' gestation. Her fundal height measurement at this clinic appointment is 26 centimeters. After reviewing her ultrasound results, the health care provider asks the nurse to schedule the client for a series of ultrasounds to be done every 2 weeks. The nurse should ensure that the client understands that the main purpose for this is to:
Correct Answer: D
Rationale: A smaller-than-expected fundal height suggests possible growth restriction, necessitating ultrasounds to monitor fetal growth, unlike the other options which are less relevant.
Extract:
The nurse administers vitamin K intramuscularly to a newborn.
Question 2 of 5
The nurse administers vitamin K intramuscularly as prophylaxis to the newborn based on which of the following rationales?
Correct Answer: D
Rationale: Vitamin K is essential for clotting factor synthesis, preventing hemorrhagic disease in newborns due to their low vitamin K levels at birth.
Extract:
A client is breastfeeding her newborn.
Question 3 of 5
A client who is breastfeeding her newborn tells the nurse, 'I notice that when I feed him, I feel fairly strong contraction-like pain. Labor is over. Why am I having contractions now?' Which response by the nurse would be most appropriate?
Correct Answer: D
Rationale: Breastfeeding stimulates oxytocin release, triggering uterine contractions to aid involution, a normal postpartum process, unlike the other options which suggest complications or irrelevant actions.
Extract:
A client who is in active labor
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: C
Rationale: A 30-minute EFM strip and Lactated Ringers bolus ensure fetal wellbeing and hydration before epidural. Dextrose risks overload, duration varies, and standing is impractical.
Extract:
A client who is in labor and has an epidural anesthesia block
Question 5 of 5
A nurse is caring for a client who is in labor and has an epidural anesthesia block. The client's blood pressure is 80/40 mm Hg, and the fetal heart rate is 140/min. Which of the following is the priority nursing action?
Correct Answer: B
Rationale: Lateral positioning corrects epidural-induced hypotension by improving blood flow. Leg elevation, monitoring, and notification are secondary to immediate repositioning.