ATI RN
ATI RN Custom 2023 Fall Exam 3 Questions
Extract:
A nurse is observing the electronic fetal heart rate monitor tracing for a client who is at 40 weeks of gestation and is in labor.
Question 1 of 5
The nurse should suspect a problem with the umbilical cord when she observes which of the following patterns?
Correct Answer: A
Rationale: Variable decelerations are irregular and suggest umbilical cord compression, unlike early decelerations (head compression) or late decelerations (uteroplacental insufficiency).
Extract:
A nurse is caring for a client who is 1 hr postpartum and observes a large amount of lochia rubra and several small clots on the client's perineal pad. The fundus is midline and firm at the umbilicus.
Question 2 of 5
Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The findings are normal for 1 hour postpartum (large lochia rubra, small clots, firm fundus), so the nurse should document and monitor. No intervention is needed.
Extract:
A nurse is caring for a client who experienced a vaginal birth 12 hr ago. The nurse recognizes the client is in the dependent, taking in phase of maternal postpartum adjustment.
Question 3 of 5
Which of the following findings should the nurse expect during this phase?
Correct Answer: B
Rationale: Expressions of excitement are typical in the taking-in phase, where the mother focuses on her own needs and birth experience.
Extract:
Which documentation in the health record is most correct for the third stage of labor?
Question 4 of 5
Which documentation in the health record is most correct for the third stage of labor?
Correct Answer: D
Rationale: The third stage of labor begins with the delivery of the fetus and ends with the delivery of the placenta, aligning with standard labor definitions.
Extract:
A nurse is caring for a client on the second day postpartum. The client informs the nurse that she is voiding a large volume of urine frequently.
Question 5 of 5
Which factor should the nurse identify as a potential cause for urinary frequency?
Correct Answer: D
Rationale: Postpartum diuresis is the body's way of eliminating excess fluid from pregnancy, causing frequent, large-volume urination.