Questions 44

ATI RN

ATI RN Test Bank

ATI Maternity Exam Questions

Extract:

A nurse is assisting with the care of a client who is multigravid and in active labor with 7 cm of cervical dilation and 100% effacement. The fetus is at +1 station, and the client's amniotic membranes are intact. The client suddenly states that she needs to push.


Question 1 of 5

Which of the following is the appropriate nursing response?

Correct Answer: A

Rationale: Panting prevents premature pushing, reducing risks of cervical edema or lacerations until full dilation is confirmed.

Extract:

A nurse is collecting data from a client who is postpartum.


Question 2 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 collecting data from a client who is 14 hr postpartum. The nurse notes breasts soft, fundus firm, slightly deviated to the right; moderate lochia rubra; temperature 37.7° C (100° F), pulse rate 88/min, respiratory rate 18/min.


Question 3 of 5

Which of the following actions should the nurse perform?

Correct Answer: C

Rationale: A deviated fundus suggests bladder distension, which can impede uterine involution; voiding corrects this and reduces hemorrhage risk.

Extract:

A nurse is assisting with the care of a client who is receiving oxytocin via IV infusion following a vaginal delivery.


Question 4 of 5

Which of the following findings should the nurse monitor to evaluate effectiveness of this medication?

Correct Answer: A

Rationale: Monitoring fundal consistency confirms oxytocin's effectiveness in promoting uterine contraction, preventing postpartum hemorrhage.

Question 5 of 5

Which of the following findings should the nurse monitor to evaluate effectiveness of this medication?

Correct Answer: A

Rationale: Fundal consistency indicates oxytocin's success in maintaining uterine tone, critical for reducing bleeding post-delivery.

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