ATI RN
ATI Maternal Final Exam Questions
Extract:
A client at 37 weeks of gestation with placenta previa
Question 1 of 5
A nurse is caring for a client who is at 37 weeks of gestation and has placenta previa. The client asks the nurse why the provider does not do an internal examination. Which of the following explanations of the primary reason should the nurse provide?
Correct Answer: D
Rationale: Internal examinations in placenta previa risk dislodging the placenta, causing severe bleeding, which is the primary reason to avoid them.
Extract:
A client following an amniotomy in the active phase of the first stage of labor
Question 2 of 5
A nurse is caring for a client following an amniotomy who is now in the active phase of the first stage of labor. Which of the following actions should the nurse implement with this client?
Correct Answer: A
Rationale: Regular bladder emptying prevents distention, which can impede labor progress and increase discomfort, making it essential post-amniotomy.
Extract:
A client with diabetes prescribed 14 units regular insulin and 28 units NPH insulin at breakfast
Question 3 of 5
A nurse is caring for a client who has diabetes and a new prescription for 14 units of regular insulin and 28 units of NPH insulin subcutaneously at breakfast daily. What is the total number of units of insulin that the nurse should prepare in the insulin syringe?
Correct Answer: D
Rationale:
Total insulin = 14 units regular + 28 units NPH = 42 units, the amount to prepare in the syringe.
Extract:
A client 2 hr post-vaginal birth receiving lactated Ringer's with 25 units oxytocin, with large rubra lochia and BP 146/94 mm Hg
Question 4 of 5
A nurse is admitting a client who experienced a vaginal birth 2 hr ago. The client is receiving an IV of lactated Ringer's with 25 units of oxytocin infusing and has large rubra lochia. Vital signs include blood pressure 146/94 mm Hg, pulse 80/min, and respiratory rate 18/min. The nurse reviews the prescriptions from the provider. Which of the following prescriptions requires clarification?
Correct Answer: C
Rationale: Methylergonovine is contraindicated with hypertension (BP 146/94 mm Hg) due to risk of hypertensive crisis, requiring clarification.
Extract:
A client who is pregnant and has phenylketonuria (PKU)
Question 5 of 5
A nurse is providing teaching to a client who is pregnant and has phenylketonuria (PKU). Which of the following foods should the nurse instruct the client to eliminate from her diet?
Correct Answer: A
Rationale: Peanut butter is high in phenylalanine, which PKU clients cannot metabolize, necessitating its elimination to prevent complications.