ATI RN
ATI Maternity Exam Questions
Extract:
A nurse is assisting in the care of a client who is in labor. The doctor documents the vaginal examination as: 3 cm, 30%, and -1.
Question 1 of 5
The nurse evaluates this documentation to mean which of the following?
Correct Answer: B
Rationale: The documentation indicates 3 cm dilation, 30% effacement, and a -1 station, meaning the presenting part is 1 cm above the ischial spines.
Extract:
A nurse is caring for a client 2 hr following a spontaneous vaginal delivery and notes that the client has saturated two perineal pads with blood in a 30-min period.
Question 2 of 5
Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: Checking the fundus identifies uterine atony, the primary cause of postpartum hemorrhage, allowing immediate intervention like massage to control bleeding.
Extract:
A nurse is assisting in the care of a client who is in the second stage of labor.
Question 3 of 5
Which of the following findings should the nurse report to the provider?
Correct Answer: D
Rationale: Prolonged contractions (2 minutes) risk fetal distress or uterine complications, necessitating immediate reporting for potential intervention.
Extract:
A nurse is assisting in the care of a client who is in active labor. The nurse notes variable decelerations of the FHR.
Question 4 of 5
The nurse should identify which of the following as a cause of variable decelerations?
Correct Answer: D
Rationale: Umbilical cord compression causes variable decelerations, characterized by abrupt FHR drops, indicating reduced fetal oxygenation.
Extract:
A nurse is collecting data from a client who is 14 hr postpartum. The nurse notes breasts soft, fundus firm, slightly deviated to the right; moderate lochia rubra; temperature 37.7° C (100° F), pulse rate 88/min, respiratory rate 18/min.
Question 5 of 5
Which of the following actions should the nurse perform?
Correct Answer: C
Rationale: A deviated fundus suggests bladder distension, which can impede uterine involution; voiding corrects this and reduces hemorrhage risk.