ATI RN
ATI NUR223 Absection 4 Maternity Final Exam Questions
Extract:
A nurse is assessing a client who is 12 hr postpartum following a vaginal delivery. The nurse notes that the fundus is firm, two fingerbreadths above the umbilicus, and deviated to the right.
Question 1 of 5
Which of the following actions should the nurse take?
Correct Answer: C
Rationale: A deviated fundus suggests bladder distension; assisting the client to void corrects uterine displacement.
Extract:
A nurse is caring for a newborn who has macrosomia and whose mother has diabetes mellitus.
Question 2 of 5
The nurse should recognize which of the following newborn complications as the priority focus of care?
Correct Answer: B
Rationale: Hypoglycemia is a priority due to fetal hyperinsulinemia from maternal diabetes, risking neurological complications.
Extract:
Question 3 of 5
What is the most likely cause of early decelerations in the fetal heart rate (FHR) pattern?
Correct Answer: D
Rationale: Early decelerations result from altered fetal cerebral blood flow due to head compression during contractions, a benign response.
Extract:
A nurse is caring for a client who experienced a vaginal delivery 12 hr ago.
Question 4 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: C
Rationale: 12 hours postpartum, the fundus descends approximately one fingerbreadth below the umbilicus, nearing the symphysis pubis.
Extract:
A nurse places a newborn under a radiant heat warmer after birth.
Question 5 of 5
The purpose of this action is to prevent which of the following in the newborn?
Correct Answer: B
Rationale: A radiant heat warmer prevents cold stress, which can lead to hypothermia and metabolic complications.