Questions 44

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ATI RN Test Bank

ATI Maternity Exam Questions

Extract:

A nurse is assisting a client out of bed for the first time since delivery. The client becomes frightened when she passes a large amount of lochia.


Question 1 of 5

Which of the following responses should the nurse make?

Correct Answer: A

Rationale: Lochia pooling explains the large amount passed upon standing, reassuring the client of a normal postpartum process.

Extract:

A nurse is assisting in the care of a client following an amniotomy who is now in the active phase of the first stage of labor.


Question 2 of 5

Which of the following actions should the nurse take?

Correct Answer: D

Rationale: Regular bladder emptying prevents distension, which could hinder labor progress, and reduces infection risk post-amniotomy.

Extract:

A nurse is assisting in the care of a client who is in the second stage of labor.


Question 3 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 collecting data from a client who is 12 hr postpartum following a spontaneous vaginal delivery.


Question 4 of 5

The nurse should expect to find the uterine fundus at which of the following positions on the client's abdomen?

Correct Answer: C

Rationale: The fundus at the umbilicus 12 hours postpartum indicates normal involution, descending approximately one fingerbreadth daily thereafter.

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 5 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.

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