Questions 44

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ATI Maternity Exam Questions

Extract:

A nurse is assisting in the care of a client following an amniotomy who is now in the active phase of the first stage of labor.


Question 1 of 5

Which of the following actions should the nurse take?

Correct Answer: D

Rationale: Regular bladder emptying prevents distension, which could hinder labor progress, and reduces infection risk post-amniotomy.

Extract:

A nurse is assessing a client who is 8 hr postpartum and multiparous.


Question 2 of 5

Which of the following findings should alert the nurse to the client's need to urinate?

Correct Answer: B

Rationale: A fundus elevated above the umbilicus suggests bladder distension, which can impede uterine contraction and increase hemorrhage risk.

Extract:

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.


Question 3 of 5

Which of the following findings confirm that the client is in labor?

Correct Answer: D

Rationale: Cervical dilation is the definitive sign of labor, indicating progressive cervical change necessary for delivery.

Extract:

A nurse is reviewing the medical record of a client who experienced a vaginal birth 2 hours ago.


Question 4 of 5

The nurse should identify that which of the following findings places the client at risk for a postpartum hemorrhage?

Correct Answer: A

Rationale: Precipitous birth increases uterine atony risk, impairing contraction and leading to potential postpartum hemorrhage.

Extract:

A nurse is assisting with the care of a client who is receiving oxytocin via IV infusion following a vaginal delivery.


Question 5 of 5

Which of the following findings should the nurse monitor to evaluate effectiveness of this medication?

Correct Answer: A

Rationale: Monitoring fundal consistency confirms oxytocin's effectiveness in promoting uterine contraction, preventing postpartum hemorrhage.

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