ATI RN Labor Assessment Exam Questions with Correct Answers
Question 1:
A nurse is care for a client. Which of the following action should the nurse take? Select all that
apply.
Answer:
-Increase the indusion rate of lactated Ringer's
Question 2:
-Discontinue the oxytocin infusion -Administer oxygen at 2L/min via nasal cannula -Position the
client on their left side A nurse is teaching about fetal attitude with a client who is in labor.
Which of the following statements by the client indicates an understanding of the teaching?
Answer:
"The location of the baby's body in relation to itself in the fetal attitude."
Question 3:
A nurse is discussing fetal position with a client who is in labor following vaginal examination.
The nurse tells the clement the fetus is in a right occipital anterior position. Which of the
following statements by the nurse should aid the client's understanding the fetal positions?
"The back of your baby's head is on the right side, toward the front of your pelvis."
A nurse performs a urine dipstick test for a client who is in active labor. The test indicates a
trace of protein in the urine. The client's vital signs are: heart rate 60/min, respiratory rate
20/min, blood pressure 124/68 mm Hh, and temperature 36.8*C (98.3*F). which of the
following actions should the nurse take?
Answer:
Explain the urinalysis results and vital signs findings to the client.
Question 4:
A nurse on the obstetric triage floor is caring for a client who is at 37 weeks of gestation. The
client states, "I am leaking a lot of fluid. I don't know if it's my bag of water or urine." The client
denies experiencing uterine contractions. Which of the following steps should the nurse take
first?
Answer:
Assess the fetal heart rate patterns and perform bedside testing to evaluate the fluid.
, Question 5:
A nurse is caring for a client who is in labor. The provider is preparing to place an intrauterine
pressure catheter (IUPC) due to an unsatisfactory contraction tracing from the external
tocodynamometer (TOCO). The nurse identifies that which of the following must occur prior to
placement of the IUPC?
Answer:
Rupturing of the amniotic membranes
Question 6:
A nurse is teaching a pregnant client during a prenatal appointment about manifestation to
report to the provider that may occur prior to labor. Which of the following statements by the
client indicates an understanding of the teaching?
Answer:
"I will contact my provider if i have fluid leaking from my vagina"
Question 7:
A nurse is caring for a client in labor who is experiencing pressure during contractions. The
nurse performs a vaginal exam to determine fetal presentation and feels a solution round
structure pressing against the client's cervix. The nurse should identify that which of the
following fetal presentations is most likely to?
Answer:
Breech
Question 8:
A nurse is reviewing a FHR monitor strip to determine fetal well—being in relation to uterine
contractions. The nurse notices that the FHR decreases gradually beginning at the onset of the
contraction, the nadir occurs at the peak of the contraction and the FHR increases gradually
back to the baselines as the contraction is ending. This pattern occurs with each contraction,
and the client reports persistent and increasing pelvic pressure with contraction. Which of the
following actions priority?
Answer:
Perform a cervical examination.
Question 9:
A nurse is preparing to initiate external electronic fetal monitoring for a client who is being
admitted to the labor and delivery floor. The nurse uses Leopold maneuver to determine that
the fetus is in a cephalon presentation with the fetal back of the right side of the client's
Question 1:
A nurse is care for a client. Which of the following action should the nurse take? Select all that
apply.
Answer:
-Increase the indusion rate of lactated Ringer's
Question 2:
-Discontinue the oxytocin infusion -Administer oxygen at 2L/min via nasal cannula -Position the
client on their left side A nurse is teaching about fetal attitude with a client who is in labor.
Which of the following statements by the client indicates an understanding of the teaching?
Answer:
"The location of the baby's body in relation to itself in the fetal attitude."
Question 3:
A nurse is discussing fetal position with a client who is in labor following vaginal examination.
The nurse tells the clement the fetus is in a right occipital anterior position. Which of the
following statements by the nurse should aid the client's understanding the fetal positions?
"The back of your baby's head is on the right side, toward the front of your pelvis."
A nurse performs a urine dipstick test for a client who is in active labor. The test indicates a
trace of protein in the urine. The client's vital signs are: heart rate 60/min, respiratory rate
20/min, blood pressure 124/68 mm Hh, and temperature 36.8*C (98.3*F). which of the
following actions should the nurse take?
Answer:
Explain the urinalysis results and vital signs findings to the client.
Question 4:
A nurse on the obstetric triage floor is caring for a client who is at 37 weeks of gestation. The
client states, "I am leaking a lot of fluid. I don't know if it's my bag of water or urine." The client
denies experiencing uterine contractions. Which of the following steps should the nurse take
first?
Answer:
Assess the fetal heart rate patterns and perform bedside testing to evaluate the fluid.
, Question 5:
A nurse is caring for a client who is in labor. The provider is preparing to place an intrauterine
pressure catheter (IUPC) due to an unsatisfactory contraction tracing from the external
tocodynamometer (TOCO). The nurse identifies that which of the following must occur prior to
placement of the IUPC?
Answer:
Rupturing of the amniotic membranes
Question 6:
A nurse is teaching a pregnant client during a prenatal appointment about manifestation to
report to the provider that may occur prior to labor. Which of the following statements by the
client indicates an understanding of the teaching?
Answer:
"I will contact my provider if i have fluid leaking from my vagina"
Question 7:
A nurse is caring for a client in labor who is experiencing pressure during contractions. The
nurse performs a vaginal exam to determine fetal presentation and feels a solution round
structure pressing against the client's cervix. The nurse should identify that which of the
following fetal presentations is most likely to?
Answer:
Breech
Question 8:
A nurse is reviewing a FHR monitor strip to determine fetal well—being in relation to uterine
contractions. The nurse notices that the FHR decreases gradually beginning at the onset of the
contraction, the nadir occurs at the peak of the contraction and the FHR increases gradually
back to the baselines as the contraction is ending. This pattern occurs with each contraction,
and the client reports persistent and increasing pelvic pressure with contraction. Which of the
following actions priority?
Answer:
Perform a cervical examination.
Question 9:
A nurse is preparing to initiate external electronic fetal monitoring for a client who is being
admitted to the labor and delivery floor. The nurse uses Leopold maneuver to determine that
the fetus is in a cephalon presentation with the fetal back of the right side of the client's
