lOMoAR cPSD| 67928686
ATI Nursing Study Guide (Chapters 16–27) | Key Concepts,
Practice Questions & Revision Notes for Exam Prep 2026
ATI Questions MB Chapter 16-26
Chp 16
A nurse is caring for a client who is in labor and experiencing incomplete uterine relaxation between
hypertonic contractions. The nurse should identify that this contraction pattern increases the risk for
which of the following?
a. Prolonged labor
b. reduced fetal oxygen supply
c. Delayed cervical dilation
d. increase maternal stress answer: B, inadequate uterine relaxation results in reduced
oxygen supply to the fetus
Rationale:
a. Precipitous labor, not prolonged labor, is often the result of hypertonic contractions and
inadequate uterine relaxation between contractions
c. hypertonic contractions and inadequate relaxation of the uterus between contraction does not
delay cervical dilation
d. A contraction pattern of hypertonic contractions and inadequate relaxation between
contractions will increase maternal distress but this is not an adverse effect
Chp 16
A nurse is caring for a client who is in active labor and reports severe back pain. During assessment, the
fetus is noticed to be in the occipital posterior position. Which of the following maternal position should
the nurse suggest to the client to facilitate normal labor progress?
a. Hands and knees
b. Lithotomy
c. Trendelenburg
d. supine with a rolled towel under one hip
Ans: A; having the client assume a position on both hands and knees can help defeat us rotate from a
posterior to an anterior position
Rationale
pg. 1
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B. The lithotomy position is when the client lies on the back with both knees elevated and does not
facilitate labor progression
c. The Trendelenburg position requires a client to lie on the back and does not assist with rotation
of the fetus
d. This supine position with a rolled towel under one hip can assist in preventing vena cava
syndrome butnot assist in rotating the fetus
Chp 16
A nurse is caring for a client who is in labor. With the use of Leopold maneuvers, it was noted that the
fetus is in a breached presentation. For which of the following possible complications should the nurse
observe?
a. Precipitous labor
b. premature rupture of the membranes
c. post maturity syndrome
d. prolapsed umbilical cord
Ans: D this is a possible complication with a breached baby
Rationale:
a. Breech presentation would most likely cause dystocia (prolonged, difficult labor) Rather than
precipitous labor
b. breech presentation has no effect on rupture of the membranes
c. breech presentation is not associated with post maturity syndrome
Chp 16
Client who is at 42 weeks of gestation and an active labor. Which of the following findings is the fetus at
risk for developing?
a. Intrauterine growth restriction
b. Hyperglycemia
c. meconium aspiration
d. polyhydramnios
Ans: C post term neonates are at risk for aspiration of meconium
Rationale:
a. intra uterine growth restriction occurs earlier in the pregnancy
b. a post term neonate is at risk for hypoglycemia, not hyperglycemia
d. postterm pregnancies result in oliohydramnios
pg. 2
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Chp 16
A nurse is caring for a client who is an active labor. When last examined 2 hours ago, the client cervix
was three CM dilated, 100% effaced, membranes intact, and the fetus was at -2 station. The client
suddenly states, “my water broke.” The monitor reveals a FHR of 80-85/min, and the nurse performs A
vaginal examination, noticing clear fluid and a pulsing loop of umbilical cord in the clients vagina. Which
of the following actions should the nurse perform first?
A. Place the client in the trendelenburg position
B. apply pressure to the presenting part with fingers
C. administer oxygen at 10 L/min via face mask
D. initiate IV fluids
Ans: B; according to evidence based practice apply pressure to the presenting part with fingers
Rationale
A. A nurse should place the client in a trendelenburg position, however this is not the first priority
C. A nurse should apply 10 L/min via face mask, however this is not the first priority
D. initiate IV fluids should be done however this is not the first priority
Chp 17
A nurse is performing a fundal assessment for a client who is 2 days postpartum and observes the
perineal pad for lochia. The patient saturated approximately 12 CM with lokia that is bright red and
contains small clots. Which of the following findings should the nurse document?
a. Moderate lochia rubra
b. excessive lochia serosa
c. light lochia rubra
d. scant lochia serosa
Ans: A; the client has moderate lochia rubra containing small plots, which is an expected finding for the
second day postpartum
Rationale:
excessive lochia serosa: indicated by saturation of perineal pad in 15 minutes or less, or pooling of blood
under the buttocks light lochia rubra: perineal pad that is saturated less than 10 CM with lochia
scant lochia serosa: less than 2.5 CM on perineal pad and pinkish brown in color. This occurs 4 to 12 days
following delivery.
Chp 17
pg. 3
ATI Nursing Study Guide (Chapters 16–27) | Key Concepts,
Practice Questions & Revision Notes for Exam Prep 2026
ATI Questions MB Chapter 16-26
Chp 16
A nurse is caring for a client who is in labor and experiencing incomplete uterine relaxation between
hypertonic contractions. The nurse should identify that this contraction pattern increases the risk for
which of the following?
a. Prolonged labor
b. reduced fetal oxygen supply
c. Delayed cervical dilation
d. increase maternal stress answer: B, inadequate uterine relaxation results in reduced
oxygen supply to the fetus
Rationale:
a. Precipitous labor, not prolonged labor, is often the result of hypertonic contractions and
inadequate uterine relaxation between contractions
c. hypertonic contractions and inadequate relaxation of the uterus between contraction does not
delay cervical dilation
d. A contraction pattern of hypertonic contractions and inadequate relaxation between
contractions will increase maternal distress but this is not an adverse effect
Chp 16
A nurse is caring for a client who is in active labor and reports severe back pain. During assessment, the
fetus is noticed to be in the occipital posterior position. Which of the following maternal position should
the nurse suggest to the client to facilitate normal labor progress?
a. Hands and knees
b. Lithotomy
c. Trendelenburg
d. supine with a rolled towel under one hip
Ans: A; having the client assume a position on both hands and knees can help defeat us rotate from a
posterior to an anterior position
Rationale
pg. 1
, lOMoAR cPSD| 67928686
B. The lithotomy position is when the client lies on the back with both knees elevated and does not
facilitate labor progression
c. The Trendelenburg position requires a client to lie on the back and does not assist with rotation
of the fetus
d. This supine position with a rolled towel under one hip can assist in preventing vena cava
syndrome butnot assist in rotating the fetus
Chp 16
A nurse is caring for a client who is in labor. With the use of Leopold maneuvers, it was noted that the
fetus is in a breached presentation. For which of the following possible complications should the nurse
observe?
a. Precipitous labor
b. premature rupture of the membranes
c. post maturity syndrome
d. prolapsed umbilical cord
Ans: D this is a possible complication with a breached baby
Rationale:
a. Breech presentation would most likely cause dystocia (prolonged, difficult labor) Rather than
precipitous labor
b. breech presentation has no effect on rupture of the membranes
c. breech presentation is not associated with post maturity syndrome
Chp 16
Client who is at 42 weeks of gestation and an active labor. Which of the following findings is the fetus at
risk for developing?
a. Intrauterine growth restriction
b. Hyperglycemia
c. meconium aspiration
d. polyhydramnios
Ans: C post term neonates are at risk for aspiration of meconium
Rationale:
a. intra uterine growth restriction occurs earlier in the pregnancy
b. a post term neonate is at risk for hypoglycemia, not hyperglycemia
d. postterm pregnancies result in oliohydramnios
pg. 2
, lOMoAR cPSD| 67928686
Chp 16
A nurse is caring for a client who is an active labor. When last examined 2 hours ago, the client cervix
was three CM dilated, 100% effaced, membranes intact, and the fetus was at -2 station. The client
suddenly states, “my water broke.” The monitor reveals a FHR of 80-85/min, and the nurse performs A
vaginal examination, noticing clear fluid and a pulsing loop of umbilical cord in the clients vagina. Which
of the following actions should the nurse perform first?
A. Place the client in the trendelenburg position
B. apply pressure to the presenting part with fingers
C. administer oxygen at 10 L/min via face mask
D. initiate IV fluids
Ans: B; according to evidence based practice apply pressure to the presenting part with fingers
Rationale
A. A nurse should place the client in a trendelenburg position, however this is not the first priority
C. A nurse should apply 10 L/min via face mask, however this is not the first priority
D. initiate IV fluids should be done however this is not the first priority
Chp 17
A nurse is performing a fundal assessment for a client who is 2 days postpartum and observes the
perineal pad for lochia. The patient saturated approximately 12 CM with lokia that is bright red and
contains small clots. Which of the following findings should the nurse document?
a. Moderate lochia rubra
b. excessive lochia serosa
c. light lochia rubra
d. scant lochia serosa
Ans: A; the client has moderate lochia rubra containing small plots, which is an expected finding for the
second day postpartum
Rationale:
excessive lochia serosa: indicated by saturation of perineal pad in 15 minutes or less, or pooling of blood
under the buttocks light lochia rubra: perineal pad that is saturated less than 10 CM with lochia
scant lochia serosa: less than 2.5 CM on perineal pad and pinkish brown in color. This occurs 4 to 12 days
following delivery.
Chp 17
pg. 3
