ATI RN
ATI Nur 232 Maternity Final Exam SP24 Questions
Extract:
A nurse in a prenatal clinic is caring for a client. Using Leopold maneuvers, the nurse palpates a round, firm, movable part in the fundus of the uterus and a long, smooth surface on the client's right side.
Question 1 of 5
In which abdominal quadrant should the nurse expect to auscultate fetal heart tones?
Correct Answer: D
Rationale: The findings suggest a breech position with the fetal back on the left, placing the fetal chest (and heart tones) in the right lower quadrant.
Extract:
At the midpoint of pregnancy, you review the beginning signs of labor with a patient.
Question 2 of 5
Which of the following would you include as a beginning sign of labor?
Correct Answer: B
Rationale: A sudden gush of clear fluid indicates rupture of membranes, a common sign of labor onset.
Extract:
A nurse in a provider's office is caring for a client who is at 34 weeks of gestation and at risk for placental abruption.
Question 3 of 5
Which of the following is the most common risk factor for abruption?
Correct Answer: D
Rationale: Hypertension is the most common risk factor for placental abruption, damaging placental blood vessels.
Extract:
A nurse is planning care for a patient who is 2 hours postpartum following a cesarean birth. The patient has a history of thromboembolic disease.
Question 4 of 5
Which nursing interventions should be included in the plan of care?
Correct Answer: D
Rationale: Ambulation promotes circulation, reducing the risk of thromboembolism in a patient with a history of the condition.
Extract:
A postpartum client on magnesium sulfate for preeclampsia suddenly developed severe headaches, floating spots in the field of vision, and right upper quadrant abdominal pain. Vital signs are BP= 164/100, HR= 96, RR= 16. Laboratory results show liver enzymes are AST = 890, ALT= 980, and platelets = 25,000.
Question 5 of 5
This client most likely developed which condition?
Correct Answer: A
Rationale: The symptoms and lab results (elevated liver enzymes, low platelets) indicate HELLP Syndrome, a severe form of preeclampsia.