Questions 44

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ATI Maternity Exam Questions

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 1 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.

Question 2 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 assisting with the care of a client who is in labor. The client's labor is difficult and prolonged and she reports a severe backache.


Question 3 of 5

Which of the following factors is a contributing cause of difficult, prolonged labor?

Correct Answer: A

Rationale: Occiput posterior position causes poor fetal alignment, increasing labor duration and back pain due to pressure on the maternal sacrum.

Extract:

A nurse is collecting data from a client who is postpartum.


Question 4 of 5

Which of the following findings should alert the nurse to the possibility of a postpartum complication?

Correct Answer: B

Rationale: A temperature of 100.4 F for two days indicates a possible infection, such as endometritis or mastitis, requiring further evaluation to prevent complications.

Extract:

A nurse is collecting data from a postpartum client and finds a large amount of lochia rubra with several clots on the client's perineal pad.


Question 5 of 5

Which of the following actions should the nurse take first?

Correct Answer: B

Rationale: Checking the fundus first assesses for uterine atony, the most likely cause of excessive lochia, enabling immediate corrective action.

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