ATI RN
ATI Maternity Exam 3 Questions
Extract:
A 28-year-old G3 now P3 mother 2 hours post normal spontaneous vaginal delivery with sudden shortness of breath, hypoxia, and cyanosis.
Question 1 of 5
Following a normal spontaneous vaginal delivery (NSVD), a 28 year old G3 now P3 mother develops sudden onset shortness of breath, hypoxia and cyanosis. The delivery room nurse quickly recognizes these symptoms as possible:
Correct Answer: C
Rationale: These symptoms suggest anaphylactoid syndrome (amniotic fluid embolism), a rare postpartum emergency, unlike conditions affecting the fetus or unrelated asthma.
Extract:
A client 4 months pregnant at her initial prenatal visit.
Question 2 of 5
A client who is 4 months pregnant is at the prenatal clinic for her initial visit. Her history reveals she has a 7-year-old daughter who was born at 34 weeks gestation, a 2-year old son born at 39 weeks gestation, and a spontaneous abortion 1 year ago at 6 weeks gestation. Using the GTPAL method, the nurse would document her obstetric history as:
Correct Answer: C
Rationale: GTPAL (4 pregnancies, 1 term, 1 preterm, 1 abortion, 2 living children) accurately reflects her history, unlike the incorrect calculations in other options.
Extract:
A client who is in the first stage of labor and is using pattern-paced breathing
Question 3 of 5
A nurse is caring for a client who is in the first stage of labor and is using pattern-paced breathing. The client says she feels lightheaded, and her fingers are tingling. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Lightheadedness and tingling indicate hyperventilation; breathing into a paper bag corrects respiratory alkalosis. Oxygen, chin tucking, or faster breathing worsen the issue.
Extract:
A woman 12 hours postpartum with a pulse rate of 60 beats per minute.
Question 4 of 5
A woman who is 12 hours postpartum had a pulse rate around 80 beats per minute during pregnancy. Now, the nurse finds a pulse of 60 beats per minute. Which of these actions should the nurse take?
Correct Answer: C
Rationale: A pulse of 60 is normal postpartum as cardiovascular adaptations normalize, unlike the incorrect associations with DIC, eclampsia, or anemia.
Extract:
A client following an amniotomy who is now in the active phase of the first stage of labor
Question 5 of 5
A nurse is caring for a client following an amniotomy who is now in the active phase of the first stage of labor. Which of the following actions should the nurse implement with this client?
Correct Answer: B
Rationale: Encouraging bladder emptying every 2 hours prevents obstruction of fetal descent. Lithotomy is for delivery, bearing down is for the second stage, and frequent exams risk infection.