ATI RN
ATI Maternity Exam Questions
Extract:
A nurse is assisting in the care of a client who is in the second stage of labor.
Question 1 of 5
Which of the following findings should the nurse report to the provider?
Correct Answer: D
Rationale: Prolonged contractions (2 minutes) risk fetal distress or uterine complications, necessitating immediate reporting for potential intervention.
Extract:
A nurse is assisting in the care of a client who is in labor. The doctor documents the vaginal examination as: 3 cm, 30%, and -1.
Question 2 of 5
The nurse evaluates this documentation to mean which of the following?
Correct Answer: B
Rationale: The documentation indicates 3 cm dilation, 30% effacement, and a -1 station, meaning the presenting part is 1 cm above the ischial spines.
Extract:
A nurse is reinforcing teaching about signs preceding the onset of labor with a client who is at 39 weeks of gestation.
Question 3 of 5
Which of the following statements should the nurse include?
Correct Answer: C
Rationale: A surge of energy, or nesting instinct, is a common pre-labor sign due to hormonal shifts, preparing the client for labor.
Extract:
A nurse is collecting data from a client who is postpartum.
Question 4 of 5
Which of the following findings should alert the nurse to the possibility of a postpartum complication?
Correct Answer: B
Rationale: A temperature of 100.4 F for two days indicates a possible infection, such as endometritis or mastitis, requiring further evaluation to prevent complications.
Extract:
A nurse is caring for a client who is 4 hr postpartum. The nurse finds a small amount of lochia rubra on the client's perineal pad. The fundus is midline and firm at the umbilicus.
Question 5 of 5
Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Ambulation promotes lochia drainage, preventing vaginal pooling, and is appropriate given the normal fundal and lochia findings.