ATI RN
ATI Maternity Exam 3 Questions
Extract:
A laboring woman has a loop of pulsating cord in the vagina during a sterile vaginal exam.
Question 1 of 5
The nurse, working in labor and delivery, performs a sterile vaginal exam on a laboring woman. During the exam, she feels a loop of pulsating cord in the vagina. The nurse would anticipate:
Correct Answer: C
Rationale: A pulsating cord indicates prolapse, requiring immediate action to relieve compression via pressure on the presenting part and urgent cesarean delivery to prevent fetal hypoxia.
Extract:
A client who is in active labor and notes late decelerations on the fetal monitor
Question 2 of 5
A nurse is caring for a client who is in active labor and notes late decelerations on the fetal monitor. Which of the following is the priority nursing action?
Correct Answer: A
Rationale: Positioning on the side improves uteroplacental blood flow, addressing late decelerations caused by insufficiency. Leg elevation, IV fluids, and oxygen are secondary actions.
Extract:
A client is breastfeeding her newborn.
Question 3 of 5
A client who is breastfeeding her newborn tells the nurse, 'I notice that when I feed him, I feel fairly strong contraction-like pain. Labor is over. Why am I having contractions now?' Which response by the nurse would be most appropriate?
Correct Answer: D
Rationale: Breastfeeding stimulates oxytocin release, triggering uterine contractions to aid involution, a normal postpartum process, unlike the other options which suggest complications or irrelevant actions.
Extract:
A client who is having a nonstress test performed
Question 4 of 5
A nurse is caring for a client who is having a nonstress test performed. The fetal heart rate (FHR) is 130 to 150/min, but there has been no fetal movement for 15 min. Which of the following actions should the nurse perform?
Correct Answer: D
Rationale: Offering a snack like orange juice stimulates fetal movement for NST assessment. Immediate reporting, walking, or repositioning are less effective first steps.
Extract:
A client following a vaginal examination by the provider
Question 5 of 5
A nurse on the labor and delivery unit is caring for a client following a vaginal examination by the provider, which is documented as: 1. Which of the following interpretations of this finding should the nurse make?
Correct Answer: C
Rationale: A documentation of '1' indicates 1 cm cervical dilation. Station is noted as +/- cm relative to ischial spines, and effacement is in percentages.