ATI RN
ATI RN Custom 2023 Fall Exam 3 Questions
Extract:
A client experiencing contractions presents at a health care facility. Assessment conducted by the nurse reveals that the client has been experiencing Braxton Hicks contractions.
Question 1 of 5
Which role do Braxton Hicks contractions play in aiding labor?
Correct Answer: D
Rationale: Braxton Hicks contractions help soften and ripen the cervix, preparing it for labor. They don't directly affect oxytocin, prostaglandins, or breathing.
Extract:
A nurse is caring for a client who gave birth 2 hr ago. The nurse notes that the client's blood pressure is 60/50 mm Hg.
Question 2 of 5
Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: Evaluating the fundus first checks for uterine atony, a common cause of postpartum hemorrhage leading to hypotension. Assessment precedes intervention.
Extract:
When reviewing the medical record of a postpartum client, the nurse notes that the client has experienced a fourth-degree laceration.
Question 3 of 5
The nurse understands that the laceration extends to which area?
Correct Answer: B
Rationale: A fourth-degree laceration extends through the perineal muscles, anal sphincter, and anterior rectal wall, unlike lesser degrees.
Extract:
A nurse is caring for a client who experienced a vaginal delivery 8 hours ago.
Question 4 of 5
When palpating the client's abdomen, at which of the following positions should the nurse expect to find the uterine fundus?
Correct Answer: D
Rationale: After delivery, the uterine fundus is typically at the level of the umbilicus within the first 12 hours, then descends gradually.
Extract:
A nurse is assessing a postpartum woman.
Question 5 of 5
Which behavior would the nurse interpret as an indication that the woman is entering the taking-hold phase of the postpartum period?
Correct Answer: A
Rationale: Taking the initiative for caring for her newborn independently while managing her own postpartum needs marks the taking-hold phase. Talking about the birth is the taking-in phase; pain and rocking aren't specific indicators.