WALDEN UNIVERSITY ATI PREGNANCY AND LABOR ACTUAL EXAM
2025||151 QUESTIONS WITH VERIFIED CORRECT RATIONALES
1. What are the three key indicators assessed during a sterile vaginal
examination?
Cervical effacement, dilation, fetal descent
Fetal heart rate, maternal blood pressure, uterine contractions
Cervical length, fetal position, maternal temperature
Amniotic fluid volume, fetal movements, uterine tone
2. What is the definition of a full breech presentation in childbirth?
Head first
Shoulders first
Feet or butt first
Sideways
3. What term describes the sensation a mother experiences when her baby
descends or 'drops' during pregnancy?
Engagement
Lightening
Quickening
Effacement
4. A laboring woman reports contractions occurring every 5 minutes, lasting
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30 seconds each. If the frequency of her contractions changes to every 3
minutes, lasting 45 seconds, what does this indicate about her labor
progression?
Labor is likely slowing down.
Labor is progressing more rapidly.
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There is a risk of uterine atony.
The baby is in distress.
5. Which intervention would the nurse initiate when a fetal heart pattern
signifying uteroplacental insufficiency occurs?
Inserting a urinary catheter
Administering oxygen by means of nasal cannula
Helping the client turn to the side-lying position
Encouraging the client to pant with her next contraction
6. A patient presents with signs of uterine rupture during labor. After
hemodynamic stabilization, which of the following interventions should be
prioritized next?
Initiate a trial of labor
Perform an immediate C-section delivery
Administer intravenous fluids only
Schedule a follow-up appointment
7. A healthcare provider observes that a fetus is in an extended attitude
during a prenatal examination. What might be a potential implication of this
finding for labor and delivery?
The labor will likely progress more quickly.
There may be an increased risk of complications during delivery.
The fetus is likely to be in a breech position.
The mother will require fewer prenatal visits.
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8. What is the minimum volume of blood loss that defines postpartum
hemorrhage?
250ml