ATI RN
ATI Maternity Exam Questions
Extract:
A nurse is assisting with the care of 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: A
Rationale: Occiput posterior position causes poor fetal alignment, increasing labor duration and back pain due to pressure on the maternal sacrum.
Extract:
A nurse is collecting data from a postpartum client and finds a large amount of lochia rubra with several clots on the client's perineal pad.
Question 2 of 5
Which of the following actions should the nurse take first?
Correct Answer: B
Rationale: Checking the fundus first assesses for uterine atony, the most likely cause of excessive lochia, enabling immediate corrective action.
Extract:
A nurse is reinforcing teaching with a client who is in labor about why epidural anesthesia is not initiated until a good labor pattern has been established.
Question 3 of 5
Which of the following explanations should the nurse include?
Correct Answer: D
Rationale: Early epidural administration may weaken contractions, slowing labor progression, which is why a strong labor pattern is preferred first.
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 caring for a postpartum client following a vaginal birth of a newborn weighing 4252 g (9 lb 6 oz).
Question 5 of 5
The nurse should identify that this client is at risk for which of the following postpartum complications?
Correct Answer: B
Rationale: A large newborn can overstretch the uterus, increasing the risk of uterine atony, which may lead to postpartum hemorrhage if not managed.