ATI RN
Custom ATI Maternity Final 2023 Questions
Extract:
A client who is in labor. The client's labor is difficult and prolonged and she reports a severe backache.
Question 1 of 5
Which of the following factors is a contributing cause of difficult, prolonged labor?
Correct Answer: D
Rationale: The correct answer is D: Fetal position is persistent occiput posterior. This position, where the back of the baby's head is towards the mother's spine, can lead to difficult and prolonged labor due to the baby facing the wrong way, causing more pressure on the mother's back and slowing down the descent through the birth canal. A persistent occiput posterior position can result in increased pain, labor duration, and the need for interventions like forceps or vacuum extraction.
A: Fetal lie being longitudinal is a normal position.
B: Fetal attitude in general flexion is also a normal position.
C: Maternal pelvis being gynecoid is the most favorable for labor.
E, F, G:
Choices are not provided.
Extract:
A client who is in labor and determines the fetus is in an RSA position.
Question 2 of 5
Which of the following fetal presentations should the nurse document in the client's medical record?
Correct Answer: D
Rationale: The correct answer is D: Vertex. This is the most common and ideal fetal presentation for a vaginal birth. The baby's head is first to enter the birth canal, ensuring a smoother delivery process. Shoulder (
A), Breech (
B), and Mentum (
C) presentations are considered abnormal and may require interventions for safe delivery. Documenting the Vertex presentation is crucial for monitoring labor progress and ensuring appropriate care.
Extract:
A client who is at 18 weeks of gestation and tells the nurse that she felt light fluttering in her stomach the previous day.
Question 3 of 5
The nurse should use which of the following terms to document this finding?
Correct Answer: D
Rationale: The correct answer is D: Quickening. Quickening refers to the first perception of fetal movement by the mother, typically around 18-20 weeks of pregnancy. It is an important milestone in prenatal care. Balottement (
A) is a technique used in physical examination, not a term for documenting fetal movement. Fluttering (
B) is a vague description and not a precise term used in healthcare. Chloasma (
C) is a skin condition commonly known as the "mask of pregnancy" and is unrelated to fetal movement.
Extract:
A client who is at 40 weeks of gestation.
Question 4 of 5
The nurse should explain that this profile focuses on which of the following parameters? (Select all that apply.)
Correct Answer: C,D,E
Rationale: The correct answer is C, D, and E. Fetal motion (
C) is important for assessing fetal well-being and development. Amniotic fluid volume (
D) is crucial for monitoring fetal growth and health. Fetal breathing (E) indicates proper lung development. Nuchal translucency (
A) is mainly used for early detection of chromosomal abnormalities, not for profile evaluation. Fetal gender (
B) is not a parameter included in a fetal profile assessment.
Extract:
A client who experienced a vaginal birth 2 hr ago.
Question 5 of 5
The nurse should identify that which of the following findings places the client at risk for a postpartum hemorrhage?
Correct Answer: C
Rationale: The correct answer is C: Precipitous birth. Precipitous birth, which is a rapid labor and delivery lasting less than 3 hours, can increase the risk of postpartum hemorrhage due to insufficient time for the uterus to contract effectively. This may lead to retained placental fragments or uterine atony, causing excessive bleeding. Small for gestational age newborn (
A) does not directly increase the risk of postpartum hemorrhage. Gestational hypertension (
B) is a risk factor for pre-eclampsia but not specifically for postpartum hemorrhage. Two-vessel umbilical cord (
D) is a fetal anomaly and is not directly related to postpartum hemorrhage.