ATI RN
ATI NUR223 Absection 4 Maternity Final Exam Questions
Extract:
A nurse in a prenatal clinic is caring for a client who is at 39 weeks of gestation and who asks about the signs that precede the onset of labor.
Question 1 of 5
Which of the following should the nurse identify as a sign that precedes labor?
Correct Answer: D
Rationale: A surge of energy, or nesting instinct, often precedes labor, signaling its onset.
Extract:
A nurse in a prenatal clinic is caring for a client. Using Leopold maneuvers, the nurse palpates a round, firm, moveable part in the fundus of the uterus and a long, smooth surface on the client's right side.
Question 2 of 5
In which abdominal quadrant should the nurse expect to auscultate fetal heart tones?
Correct Answer: B
Rationale: The fetal back on the right side suggests the heart tones are best auscultated in the right upper quadrant, where the fetal back is located.
Extract:
Question 3 of 5
What is the most likely cause of early decelerations in the fetal heart rate (FHR) pattern?
Correct Answer: B
Rationale: Early decelerations are caused by fetal head compression during contractions, a benign response.
Extract:
A nurse is caring for a client 2 hr after a spontaneous vaginal birth and the client has saturated two perineal pads with blood in a 30-min period.
Question 4 of 5
Which of the following is the priority nursing intervention at this time?
Correct Answer: C
Rationale: Excessive bleeding suggests uterine atony; palpating the fundus assesses uterine tone, guiding interventions to prevent hemorrhage.
Extract:
A nurse is caring for a client who is 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 5 of 5
Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The urge to push at 7 cm dilation suggests rapid labor progression; observing for crowning confirms if delivery is imminent.