Questions 69

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ATI Maternal Final Exam Questions

Extract:

A client prescribed amoxicillin 250 mg PO every 8 hr with 125 mg tablets available


Question 1 of 5

A nurse is preparing to administer amoxicillin 250 mg PO every 8 hr. The amount available is amoxicillin 125 mg tablets. How many tablets should the nurse administer with each dose?

Correct Answer: 2 tablets

Rationale: 250 mg prescribed / 125 mg per tablet = 2 tablets per dose, a whole number requiring no rounding.

Extract:

A client 2 hr post-spontaneous vaginal birth saturating two perineal pads in 30 min


Question 2 of 5

A nurse is caring for a client 2 hr after a spontaneous vaginal birth and the client has saturated two perineal pads with blood in a 30-min period. Which of the following is the priority nursing intervention at this time?

Correct Answer: D

Rationale: Palpating the fundus assesses for uterine atony, a common cause of excessive bleeding, guiding further interventions like oxytocic administration.

Extract:

A client who is at 40 weeks of gestation and in labor with electronic fetal heart rate monitoring


Question 3 of 5

A nurse is observing the electronic fetal heart rate monitor tracing for a client who is at 40 weeks of gestation and is in labor. The nurse should suspect a problem with the umbilical cord when she observes which of the following patterns?

Correct Answer: D

Rationale: Variable decelerations indicate umbilical cord compression, characterized by abrupt fetal heart rate drops, suggesting issues like cord prolapse or nuchal cord, requiring intervention.

Extract:

A client scheduled for a cesarean birth due to fetal lung maturity


Question 4 of 5

A nurse is caring for a client who is scheduled for a cesarean birth based upon the fetal lungs having reached maturity. Which of the following findings indicates that the fetal lungs are mature?

Correct Answer: A

Rationale: An L/S ratio of 2:1 indicates fetal lung maturity, as it shows sufficient surfactant for adequate lung function post-birth.

Extract:

A client with severe preeclampsia at 35 weeks of gestation


Question 5 of 5

A nurse is admitting a client who has severe preeclampsia at 35 weeks of gestation and is reviewing the provider's orders. Which of the following orders requires clarification?

Correct Answer: A

Rationale: Ambulation is contraindicated in severe preeclampsia due to seizure risk; bed rest is typically prescribed, requiring clarification of this order.

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