ATI RN
ATI RN Custom 2023 Fall Exam 3 Questions
Extract:
When reviewing the medical record of a postpartum client, the nurse notes that the client has experienced a fourth-degree laceration.
Question 1 of 5
The nurse understands that the laceration extends to which area?
Correct Answer: B
Rationale: A fourth-degree laceration extends through the perineal muscles, anal sphincter, and anterior rectal wall, unlike lesser degrees.
Extract:
A nurse is assessing a postpartum woman.
Question 2 of 5
Which behavior would the nurse interpret as an indication that the woman is entering the taking-hold phase of the postpartum period?
Correct Answer: A
Rationale: Taking the initiative for caring for her newborn independently while managing her own postpartum needs marks the taking-hold phase. Talking about the birth is the taking-in phase; pain and rocking aren't specific indicators.
Extract:
A nurse is caring for a client who is at 36 weeks of gestation and who has a suspected placenta previa.
Question 3 of 5
Which of the following findings support this diagnosis?
Correct Answer: B
Rationale: Painless red vaginal bleeding is a hallmark of placenta previa due to the placenta's low position. Painful bleeding suggests abruptio placenta.
Extract:
At what time is the laboring client encouraged to push?
Question 4 of 5
At what time is the laboring client encouraged to push?
Correct Answer: D
Rationale: The laboring client is encouraged to push when the cervix is fully dilated (10 cm) to avoid birth trauma. Pushing earlier or based on provider presence or visibility is incorrect.
Extract:
The client is being rushed into the labor and delivery unit.
Question 5 of 5
At which station would the nurse document the fetus immediately prior to birth? (Enter a numerical value)
Correct Answer: B
Rationale: Immediately prior to birth, the fetus is typically at 0 station (level with the ischial spines), indicating engagement in the pelvis.