ATI RN
Custom ATI Maternity Final 2023 Questions
Extract:
A newborn who is small for gestational age.
Question 1 of 5
Which of the following findings is associated with this condition?
Correct Answer: D
Rationale: This statement is true. Gray umbilical cord is a finding that is associated with being small for gestational age. Gray umbilical cord indicates that the cord is old and has lost its blood supply. This can be a sign of placental insufficiency, which is a common cause of fetal growth restriction.
Extract:
A client who is in labor.
Question 2 of 5
Which of the following findings should the nurse report to the provider?
Correct Answer: B
Rationale: This statement is true. Fetal heart rate 100/min for a 10-minute period is an abnormal finding for a client who is in labor. It indicates that the fetus is bradycardic, which means the heart rate is below the normal range of 110 to 160/min. This can be a sign of fetal distress, hypoxia, or cord compression. The nurse should report this finding to the provider and intervene to improve the fetal oxygenation and circulation.
Extract:
A client who is at 34 weeks of gestation and at risk for placental abruption.
Question 3 of 5
The nurse recognizes that which of the following is the most common risk factor for a placental abruption?
Correct Answer: C
Rationale: This statement is correct. Maternal hypertension is the most common risk factor for placental abruption, accounting for about 44% of cases. Hypertension during pregnancy can cause damage to the blood vessels in the placenta, resulting in placental infarction and detachment.
Extract:
A client who is in active labor. The nurse notes late decelerations on the fetal monitor tracing.
Question 4 of 5
Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: This statement is correct. Positioning the client on her side is the first action that the nurse should take when late decelerations are noted on the fetal monitor tracing. Late decelerations are a sign of fetal hypoxia, which means that the fetus is not getting enough oxygen. Positioning the client on her side can improve blood flow to the placenta and the fetus, and reduce the compression of the umbilical cord.
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: This statement is true. A precipitous birth is a birth that occurs in less than 3 hours from the onset of labor. It can cause trauma to the birth canal, uterine atony, or retained placental fragments, resulting in postpartum hemorrhage.