Questions 69

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ATI Maternal Final Exam Questions

Extract:

A client who is pregnant being assessed for preeclampsia


Question 1 of 5

A nurse is assessing a client who is pregnant for preeclampsia. Which of the following findings should indicate to the nurse that the client requires further evaluation for this disorder?

Correct Answer: A

Rationale: Elevated blood pressure is a key diagnostic criterion for preeclampsia, requiring further evaluation to prevent progression to severe complications.

Extract:

A client who is a primigravida, at term, and unsure if in labor


Question 2 of 5

A nurse is caring for a client who is a primigravida, at term, and having contractions but is stating that she is 'not really sure if she is in labor or not.' Which of the following should the nurse recognize as a sign of true labor?

Correct Answer: C

Rationale: Progressive cervical dilation and effacement confirm true labor, distinguishing it from false labor contractions.

Extract:

A client post-vaginal examination with a -1 station finding


Question 3 of 5

A nurse on the labor and delivery unit is caring for a client following a vaginal examination by the provider which is documented as: -1. Which of the following interpretations of this finding should the nurse make?

Correct Answer: A

Rationale: A -1 station means the presenting part is 1 cm above the ischial spines, indicating the fetus is not yet fully engaged in the pelvis.

Extract:

A client who is a primigravida at 42 weeks of gestation believing she is in labor


Question 4 of 5

A nurse midwife is examining a client who is a primigravida at 42 weeks of gestation and states that she believes she is in labor. Which of the following findings confirm to the nurse that the client is in labor?

Correct Answer: D

Rationale: Cervical dilation is a primary indicator of active labor, confirming the onset of true labor in a primigravida.

Extract:

A client in preterm labor


Question 5 of 5

A nurse is admitting a client who has a diagnosis of preterm labor. The nurse anticipates a prescription by the provider for which of the following medications? (Select all that apply.)

Correct Answer: A,C

Rationale: A: Indomethacin inhibits prostaglandin synthesis to delay preterm labor. C: Magnesium sulfate relaxes uterine muscles as a tocolytic. B, D, and E are incorrect as they promote labor or postpartum contractions.

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