ATI RN
Custom ATI Maternity Exam 2 Questions
Extract:
Client in active labor with late decelerations on fetal monitor tracing
Question 1 of 5
The nurse is assisting in the care of a client who is in active labor. The nurse notes late decelerations on the fetal monitor tracing. Which of the following actions should the nurse take first?
Correct Answer: Positioning the client on her side is the first action to take as it reduces compression of the inferior vena cava and aorta, improving maternal and fetal circulation. This addresses the uteroplacental insufficiency causing late decelerations, which indicate fetal hypoxia.
Rationale:
Extract:
Client who is postpartum
Question 2 of 5
A nurse is collecting data from a client who is postpartum. Which of the following findings should alert the nurse to the possibility of a postpartum complication?
Correct Answer: A temperature of 100.4°F for two days suggests a possible infection, such as endometritis, requiring immediate attention. The other findings are normal or expected postpartum.
Rationale:
Extract:
Client who is a primigravida at 42 weeks of gestation, thinks she is in labor
Question 3 of 5
A nurse is assisting a nurse midwife in examining a client who is a primigravida at 42 weeks of gestation and states that she thinks she is in labor. Which of the following findings confirm that the client is in labor?
Correct Answer: Cervical dilation is the definitive sign of labor, indicating the cervix is opening due to uterine contractions. Other findings like contractions or amniotic fluid may occur but are not confirmatory without dilation.
Rationale:
Extract:
Client following a cesarean birth, reports being hungry
Question 4 of 5
A nurse is caring for a client following a cesarean birth. The client tells the nurse that she is hungry. Which of the following actions should the nurse take first?
Correct Answer: Auscultating the abdomen for bowel sounds is the priority to confirm the return of peristalsis post-cesarean, ensuring the client can tolerate oral intake without complications.
Rationale:
Extract:
Client in the first stage of labor with umbilical cord protruding from the vagina
Question 5 of 5
A nurse is assisting with the care of a client who is in the first stage of labor. The nurse observes the umbilical cord protruding from the vagina. Which of the following actions should the nurse take first?
Correct Answer: Placing the client in a knee-chest or Trendelenburg position is the priority to relieve pressure on the prolapsed cord, restoring blood flow to the fetus and preventing hypoxia. This addresses the immediate risk of cord compression.
Rationale: