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ATI Maternity Proctored Exam Version 4 With Answers (30 Solved Questions)

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    ATI Maternity Proctored Exam Version 4 With Answers (30 Solved Questions), page 1MATERNITY ATIVERSION41. A nurse in the labor and delivery unit receives a phone call from a client who reports that hercontractions started about 2 hr. ago, did not go away when she had two glasses of water andrested, and became stronger since she started walking. Her contractions occur every 10 minand last about 30 seconds. She hasn't had a fluid leak form her vagina. However, she saw someblood when she wiped after voiding. Based on this report, which of the following clinicalfindings should the nurse recognize that the client is experiencinga. Braxton hick's contractionsb. Rupture of membranesc. Fetal descentd. True contractionsD-true contractions2. A nurse in the labor and delivery unit is caring for a client in labor and applies an externalfetal monitor and tocotransducer. The FHR is around 140/min. contractions are occurring every8 min and 30 to 40 seconds in duration. The nurse performs a vaginal exam and finds the cervixis 2 cm dilated, 50% effaced, and the fetus is at a-2 station. Which of the following stages andphases of labor is the client experiencinga. First stage, latent phaseb. First stage, active phasec. First stage, transition phased. Second stageof laborA-first stage, latent phase3. A client experiences a large gush of fluid from her vagina while walking in the hallway of thebirthing unit. Which of the following actions should the nurse take first?a. Check the amniotic fluid formeconiumb. Monitor FHR for distressc. Dry the client and make her comfortabled. Monitor uterine contractionsB-monitor the fetal hear rate for distress

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    ATI Maternity Proctored Exam Version 4 With Answers (30 Solved Questions), page 2

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    ATI Maternity Proctored Exam Version 4 With Answers (30 Solved Questions), page 34. A nurse in labor and delivery unit is completing an admission assessment for a client who isat39 weeks of gestation. The client reports that she has been leaking fluid from her vagina for 2days. Which of the following conditions is the client at risk for developinga. Cord prolapseb. Infectionc. Postpartum hemorrhaged. HydramniosB-infection5. A nurse is caring for a client who is in active labor and becomes nauseous and vomits. Theclient is very irritable and feels the urge to have a bowel movement. She states, "I've hadenough. I can't do this anymore. I want to go home right now" whichstage of labor is the clientexperiencing?a. Second stageb. Fourth statec. Transition phased. Latent phaseC-transition phase1. A nurse is caring for a client who is at 40 weeks of gestation and experiencing contractionsevery 3 to 5 minutes and becoming stronger. A vaginal exam reveals that the clients cervix is 3cm dilated, 80% effaced, and-1 station. The client asks for pain medication. Which of thefollowing actions should the nurse take? (select all that apply)a. Encourage the use of patterned breathing techniquesb. Insert an indwelling urinary catheterc. Administer opioid analgesic medicationd. Suggest application of colde. Provide ice chipsA-encourage the use of patterned breathing techniquesC-administer opioid analgesic medicationD-suggest application of cold2. A nurse is caring for a client who is in active labor. The client reports lower back pain. Thenurse suspects this pain is related to a persistent occiput posterior fetal position which of thefollowingnonpharm nursing interventions should the nurse recommend to the client?a. An abdominal effleurageb. Sacral counterpressurec. Showering if not contraindicatedd. Back rub and massageB-sacral counterpressure

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