ATI RN
ATI Nur 232 Maternity Final Exam SP24 Questions
Extract:
A nurse is caring for a client who gave birth 2 hours ago. The nurse notes that the client's blood pressure is 60 mm Hg.
Question 1 of 5
Which of the following actions should the nurse take first?
Correct Answer: B
Rationale: Evaluating the firmness of the uterus is the first action to identify uterine atony, a common cause of postpartum hemorrhage leading to low blood pressure. Other actions follow based on findings.
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 2 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 client at 37 weeks gestation is admitted with complaints of fever, pain and swelling in her groin, and contractions every 15 minutes. The nurse, when assessing the client's perineum, found erythematous lesions on the vulva that look like herpes.
Question 3 of 5
The nurse anticipates the patient's treatment regimen to include which of the following?
Correct Answer: C
Rationale: Acyclovir is the antiviral treatment for herpes, addressing the viral infection indicated by the lesions.
Extract:
A nurse is caring for a client who experienced a vaginal birth 12 hours ago. The nurse recognizes the client is in the dependent, taking in phase of maternal postpartum adjustment.
Question 4 of 5
Which of the following findings should the nurse expect during this phase?
Correct Answer: B
Rationale: Expressions of excitement are typical in the taking-in phase, where the mother focuses on her birth experience and is often talkative and excited.
Extract:
A nurse is caring for a client who experienced a vaginal delivery 12 hr ago.
Question 5 of 5
When palpating the client's abdomen, at which of the following positions should the nurse expect to find the uterine fundus?
Correct Answer: A
Rationale: The uterine fundus is expected to be at the level of the umbilicus 12 hours post-delivery, indicating normal uterine involution.