ATI RN COMMUNITY
HEALTH CMS ACTUAL 08/27/2026
EXAM
ATI RN COMMUNITY HEALTH CMS ACTUAL
EXAM 4 2026/2027 | 100 Questions & Correct
Answers | Proctored Test Bank | Pass
Guaranteed - A+ Graded
Why should the nurse encourage the mother to void during the fourth stage of labor?
A. A full bladder could interfere with cervical dilation.
B. A full bladder could obstruct progress of the infant through the birth canal.
C. A full bladder could obstruct the passage of the placenta.
D. A full bladder could predispose the mother to uterine hemorrhage.
D. A full bladder could predispose the mother to uterine hemorrhage.
P a g e 1 | 191
, ATI RN COMMUNITY
HEALTH CMS ACTUAL 08/27/2026
EXAM
RATIONALE: A full bladder immediately after birth can cause excessive bleeding because it pushes the
uterus upward and interferes with contractions.
What contraction duration and interval does the nurse recognize could result in fetal compromise?
a. Duration shorter than 30 seconds, interval longer than 75 seconds
b. Duration shorter than 90 seconds, interval longer than 120 seconds
c. Duration longer than 90 seconds, interval shorter than 60 seconds
d. Duration longer than 60 seconds, interval shorter than 90 seconds
c. Duration longer than 90 seconds, interval shorter than 60 seconds
RATIONALE: Persistent contraction durations longer than 90 seconds or contraction intervals less
than 60 seconds may reduce fetal oxygen supply.
Vaginal examination reveals the presenting part is the infant's head, which is well flexed on the chest.
What is this presentation?
a. Vertex
b. Military
c. Brow
d. Face
A. Vertex.
RATIONALE: Vertex presentation means the fetal head is fully flexed with the chin on the chest. This is
the most favorable cephalic presentation because the smallest diameter of the head enters the pelvis.
It occurs in approximately 96% of births.
P a g e 2 | 191
, ATI RN COMMUNITY
HEALTH CMS ACTUAL 08/27/2026
EXAM
The other options are wrong because military = head neither flexed nor extended, brow = head
partially extended, and face = head fully extended with the face presenting.
What is the function of contractions during the second stage of labor?
a. Align the infant into the proper position for delivery.
b. Dilate and efface the cervix.
c. Push the infant out of the mother's body.
d. Separate the placenta from the uterine wall.
c. Push the infant out of the mother's body.
RATIONALE:
In the second stage of labor the cervix is already fully dilated at 10 cm, so dilation and effacement are
complete. The function of contractions in the second stage is expulsion — combined with voluntary
maternal pushing they propel the fetus downward through the pelvis and out of the birth canal.
The other options are wrong because aligning the infant into position occurs in the first stage, dilating
and effacing the cervix is the function of first stage contractions, and separating the placenta occurs in
the third stage.
The nurse observes the patient bearing down with contractions and crying out, "The baby is coming!"
What is the best nursing intervention?
a. Find the physician.
b. Stay with the woman and use the call bell to get help.
c. Send the woman's partner to locate a registered nurse.
d. Assist with deep breathing to slow the labor process.
b. Stay with the woman and use the call bell to get help.
P a g e 3 | 191
, ATI RN COMMUNITY
HEALTH CMS ACTUAL 08/27/2026
EXAM
RATIONALE: If birth appears to be imminent, the nurse should not leave the woman and should
summon help with the call bell.
A nurse is teaching a childbirth preparation class. The group is discussing individual expression of labor
pain. What statement is accurate about a patient's expression of pain?
a. It reduces the patient's perception of pain.
b. It is intensified by the vertex position of the fetus.
c. It is influenced by culture.
d. It can be completely controlled by nonpharmacological techniques.
c. It is influenced by culture.
RATIONALE: Culture significantly influences how a woman feels about pregnancy and birth, how she
expresses pain, and how she responds to it during labor. Some cultures encourage vocal expression of
pain while others value stoicism and silence. The nurse must understand and respect these cultural
differences rather than making assumptions about a woman's pain level based on her behavior. The
textbook states that a woman's cultural and individual values influence how she views and copes with
childbirth.
The other options are wrong because expressing pain does not reduce perception of it, vertex
presentation is the most favorable position and does not intensify pain (occiput posterior causes back
labor and intensifies pain), and nonpharmacological techniques cannot completely control pain in all
women — they reduce and help manage pain but most pharmacological methods are still needed by
many laboring women.
The nurse is preparing a teaching plan for a woman receiving a subarachnoid block before delivery.
What nursing action will be included in this plan to prevent the associated side effect of this type of
anesthesia?
P a g e 4 | 191
HEALTH CMS ACTUAL 08/27/2026
EXAM
ATI RN COMMUNITY HEALTH CMS ACTUAL
EXAM 4 2026/2027 | 100 Questions & Correct
Answers | Proctored Test Bank | Pass
Guaranteed - A+ Graded
Why should the nurse encourage the mother to void during the fourth stage of labor?
A. A full bladder could interfere with cervical dilation.
B. A full bladder could obstruct progress of the infant through the birth canal.
C. A full bladder could obstruct the passage of the placenta.
D. A full bladder could predispose the mother to uterine hemorrhage.
D. A full bladder could predispose the mother to uterine hemorrhage.
P a g e 1 | 191
, ATI RN COMMUNITY
HEALTH CMS ACTUAL 08/27/2026
EXAM
RATIONALE: A full bladder immediately after birth can cause excessive bleeding because it pushes the
uterus upward and interferes with contractions.
What contraction duration and interval does the nurse recognize could result in fetal compromise?
a. Duration shorter than 30 seconds, interval longer than 75 seconds
b. Duration shorter than 90 seconds, interval longer than 120 seconds
c. Duration longer than 90 seconds, interval shorter than 60 seconds
d. Duration longer than 60 seconds, interval shorter than 90 seconds
c. Duration longer than 90 seconds, interval shorter than 60 seconds
RATIONALE: Persistent contraction durations longer than 90 seconds or contraction intervals less
than 60 seconds may reduce fetal oxygen supply.
Vaginal examination reveals the presenting part is the infant's head, which is well flexed on the chest.
What is this presentation?
a. Vertex
b. Military
c. Brow
d. Face
A. Vertex.
RATIONALE: Vertex presentation means the fetal head is fully flexed with the chin on the chest. This is
the most favorable cephalic presentation because the smallest diameter of the head enters the pelvis.
It occurs in approximately 96% of births.
P a g e 2 | 191
, ATI RN COMMUNITY
HEALTH CMS ACTUAL 08/27/2026
EXAM
The other options are wrong because military = head neither flexed nor extended, brow = head
partially extended, and face = head fully extended with the face presenting.
What is the function of contractions during the second stage of labor?
a. Align the infant into the proper position for delivery.
b. Dilate and efface the cervix.
c. Push the infant out of the mother's body.
d. Separate the placenta from the uterine wall.
c. Push the infant out of the mother's body.
RATIONALE:
In the second stage of labor the cervix is already fully dilated at 10 cm, so dilation and effacement are
complete. The function of contractions in the second stage is expulsion — combined with voluntary
maternal pushing they propel the fetus downward through the pelvis and out of the birth canal.
The other options are wrong because aligning the infant into position occurs in the first stage, dilating
and effacing the cervix is the function of first stage contractions, and separating the placenta occurs in
the third stage.
The nurse observes the patient bearing down with contractions and crying out, "The baby is coming!"
What is the best nursing intervention?
a. Find the physician.
b. Stay with the woman and use the call bell to get help.
c. Send the woman's partner to locate a registered nurse.
d. Assist with deep breathing to slow the labor process.
b. Stay with the woman and use the call bell to get help.
P a g e 3 | 191
, ATI RN COMMUNITY
HEALTH CMS ACTUAL 08/27/2026
EXAM
RATIONALE: If birth appears to be imminent, the nurse should not leave the woman and should
summon help with the call bell.
A nurse is teaching a childbirth preparation class. The group is discussing individual expression of labor
pain. What statement is accurate about a patient's expression of pain?
a. It reduces the patient's perception of pain.
b. It is intensified by the vertex position of the fetus.
c. It is influenced by culture.
d. It can be completely controlled by nonpharmacological techniques.
c. It is influenced by culture.
RATIONALE: Culture significantly influences how a woman feels about pregnancy and birth, how she
expresses pain, and how she responds to it during labor. Some cultures encourage vocal expression of
pain while others value stoicism and silence. The nurse must understand and respect these cultural
differences rather than making assumptions about a woman's pain level based on her behavior. The
textbook states that a woman's cultural and individual values influence how she views and copes with
childbirth.
The other options are wrong because expressing pain does not reduce perception of it, vertex
presentation is the most favorable position and does not intensify pain (occiput posterior causes back
labor and intensifies pain), and nonpharmacological techniques cannot completely control pain in all
women — they reduce and help manage pain but most pharmacological methods are still needed by
many laboring women.
The nurse is preparing a teaching plan for a woman receiving a subarachnoid block before delivery.
What nursing action will be included in this plan to prevent the associated side effect of this type of
anesthesia?
P a g e 4 | 191
