ATI RN
ATI Maternity Exam Questions
Extract:
A nurse is caring for a client 2 hr following a spontaneous vaginal delivery and notes that the client has saturated two perineal pads with blood in a 30-min period.
Question 1 of 5
Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: Checking the fundus identifies uterine atony, the primary cause of postpartum hemorrhage, allowing immediate intervention like massage to control bleeding.
Extract:
A nurse is collecting data from a client who is 14 hr postpartum. The nurse notes breasts soft, fundus firm, slightly deviated to the right; moderate lochia rubra; temperature 37.7° C (100° F), pulse rate 88/min, respiratory rate 18/min.
Question 2 of 5
Which of the following actions should the nurse perform?
Correct Answer: C
Rationale: A deviated fundus suggests bladder distension, which can impede uterine involution; voiding corrects this and reduces hemorrhage risk.
Extract:
A nurse is assisting in the care of a client who had a vaginal birth 2 hr ago.
Question 3 of 5
Which of the following actions should the nurse take?
Correct Answer: B,C,E
Rationale: Observing lochia, documenting fundal height, and checking midline position assess postpartum recovery, ensuring no complications like hemorrhage.
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 4 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 a client who is postpartum with her first breastfeeding experience. When the client asks how much of the nipple she should put into the baby's mouth.
Question 5 of 5
Which of the following responses by the nurse is appropriate?
Correct Answer: D
Rationale: Including the nipple and some areola ensures proper latch, promoting effective milk transfer and preventing nipple trauma.