ATI RN
ATI Nur 232 Maternity Final Exam SP24 Questions
Extract:
What is the role of a nurse in assessing a pregnant woman's diet?
Question 1 of 5
Assess her skin for hydration and color
Correct Answer: C
Rationale: Asking the client to describe her intake for the last week provides a direct and accurate assessment of her current dietary habits.
Extract:
A nurse is completing discharge teaching to a client in her 35th week of pregnancy who has mild preeclampsia.
Question 2 of 5
Which of the following information about nutrition should be included in the teaching?
Correct Answer: A
Rationale: Adequate hydration (48-64 ounces of water daily) supports overall health and helps manage mild preeclampsia. Protein intake should be higher (~71g/day), whole grains and vegetables are beneficial, and avoiding salt is secondary to reducing overall sodium intake.
Extract:
Vital Signs at 0700 hrs: Temperature: 36.6°C (97.9°F), Pulse: 85/min, Respiratory rate: 20/min, Blood pressure: 180/99 mm Hg. Nurses' Notes at 0700 hrs: Client reports, "I have had a headache for 2 days. Tylenol does not relieve it." Client states, "I have blurred vision and dizziness." Client reports swelling of their feet. 2+ pitting edema of the lower extremities noted bilaterally. Deep tendon reflexes 3+, absent clonus. Fetal heart tones (FH) 150/min. Medical History: Gravida 4 Para 3, 33 weeks of gestation, Allergies: Sulfa, Height: 165 cm (66 in), Weight: 82 kg (180 lb), BMI: 30.6.
Question 3 of 5
Select the 4 assessment findings the nurse should report to the provider.
Correct Answer: A, B, D, G
Rationale: Headache unrelieved by Tylenol, blurred vision and dizziness, 2+ pitting edema, and blood pressure of 180/99 mm Hg are concerning signs of preeclampsia, requiring immediate reporting. Swelling of feet is common and less urgent unless accompanied by other symptoms. Deep tendon reflexes 3+ and fetal heart tones 150/min are normal.
Extract:
A nurse is caring for a client who is at 37 weeks of gestation and has placenta previa. The client asks why the provider does not do an internal examination.
Question 4 of 5
Which of the following explanations of the primary reason should the nurse provide?
Correct Answer: C
Rationale: An internal examination in placenta previa could disturb the low-lying placenta, causing severe bleeding, which is the primary reason to avoid it.
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 5 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.