Questions 44

ATI RN

ATI RN Test Bank

ATI Maternity Exam Questions

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 1 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 assisting with the care of a client who had an epidural anesthesia block during the early stages of labor. The client's blood pressure is 80/40 mm Hg and the fetal heart recording is 140/min.


Question 2 of 5

Which of the following actions should the nurse take first?

Correct Answer: A

Rationale: Positioning the client laterally relieves vena cava pressure, improving maternal and fetal circulation to address hypotension promptly.

Extract:

A nurse is caring for a postpartum client who saturates a perineal pad in 10 min.


Question 3 of 5

Which of the following actions should the nurse take first?

Correct Answer: A

Rationale: Fundal massage addresses uterine atony, the primary cause of rapid bleeding, stabilizing the client before further interventions.

Extract:

A nurse is collecting data from a client who gave birth one week ago.


Question 4 of 5

Which of the following findings should the nurse identify as a manifestation of endometritis?

Correct Answer: B

Rationale: Pelvic pain signals endometritis, an infection of the uterine lining, distinct from normal postpartum discharge or unrelated symptoms.

Extract:

A nurse is collecting data from a client who is 3 days postpartum and is breastfeeding. Her fundus is three fingerbreadths below the umbilicus, and her lochia rubra is moderate. Her breasts feel hard and warm.


Question 5 of 5

Which of the following recommendations should the nurse give the client?

Correct Answer: B

Rationale: Expressing milk relieves engorgement, a normal response at 3 days postpartum, maintaining supply and reducing discomfort.

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