ATI RN
ATI Maternity Exam 3 Questions
Extract:
A laboring client.
Question 1 of 5
Why is it important for the nurse to assess the bladder regularly and encourage the laboring client to void every 2 hours?
Correct Answer: D
Rationale: A full bladder can obstruct fetal descent, prolonging labor and increasing complications, unlike the incorrect or unrelated other options.
Extract:
A client who is in active labor
Question 2 of 5
A nurse is preparing a client who is in active labor for epidural analgesia. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: A 30-minute EFM strip and Lactated Ringers bolus ensure fetal wellbeing and hydration before epidural. Dextrose risks overload, duration varies, and standing is impractical.
Extract:
A laboring client in the active phase of the first stage of labor.
Question 3 of 5
A client who is in labor is in the active phase of the first stage. Which of the following assessment findings would the nurse expect?
Correct Answer: C
Rationale: Active phase involves 4-8 cm dilation, with 6 cm typical, unlike the other findings which occur in different stages or are nonspecific.
Extract:
A client in labor who has had epidural anesthesia for pain relief
Question 4 of 5
A nurse is assessing a client in labor who has had epidural anesthesia for pain relief. Which of the following findings should the nurse identify as a complication from the epidural block?
Correct Answer: C
Rationale: Hypotension is a common epidural complication due to vasodilation. Vomiting, tachycardia, and respiratory depression are less typical.
Extract:
A client who is in her first trimester of pregnancy
Question 5 of 5
A nurse at a prenatal clinic is caring for a client who is in her first trimester of pregnancy. The client tells the nurse that she is upset because, although she and her husband planned this pregnancy, she has been having many doubts and second thoughts about the upcoming changes in her life. Which of the following is an appropriate response by the nurse?
Correct Answer: B
Rationale: Validating ambivalent feelings as common normalizes the client's emotions. Dismissing concerns, suggesting counseling prematurely, or assuming family discussions are unhelpful.