ATI RN
ATI Nur 232 Maternity Final Exam SP24 Questions
Extract:
A nurse is caring for a client who is postpartum and finds the fundus slightly boggy and displaced to the right.
Question 1 of 5
Based on these findings, which of the following actions should the nurse take?
Correct Answer: B
Rationale: Assisting the client to void addresses a potentially full bladder, which can displace the uterus and cause a boggy fundus, contributing to uterine atony.
Extract:
A client at 37 weeks gestation is admitted with complaints of fever, pain and swelling in her groin, and contractions every 15 minutes. The nurse, when assessing the client's perineum, found erythematous lesions on the vulva that look like herpes.
Question 2 of 5
The nurse anticipates the patient's treatment regimen to include which of the following?
Correct Answer: C
Rationale: Acyclovir is the antiviral treatment for herpes, addressing the viral infection indicated by the lesions.
Extract:
A nurse in a prenatal clinic is caring for a client. Using Leopold maneuvers, the nurse palpates a round, firm, movable part in the fundus of the uterus and a long, smooth surface on the client's right side.
Question 3 of 5
In which abdominal quadrant should the nurse expect to auscultate fetal heart tones?
Correct Answer: D
Rationale: The findings suggest a breech position with the fetal back on the left, placing the fetal chest (and heart tones) in the right lower quadrant.
Extract:
Nurse's Notes (0700hrs): Fetal heart tones (FHT): 145/min, Uterine contractions every 2 minutes, lasting 80 seconds, moderate intensity. Vital Signs (0700hrs): Client reports low back pain and frequent urination since last night. Urination is painful and only a small amount is passed each time. Abdomen is soft and nontender. Vaginal examination: 2 cm dilated, 100% effaced, 0 station. Bloody mucus noted on sterile glove. Medical History: G2P1, 34 weeks pregnant, No known allergies, Previous pregnancy was full-term with no complications. Diagnostic Results (0700hrs): Place client on electronic fetal monitor, Administer IV fluids, Monitor vital signs every hour, Notify provider of any changes in client status. A 28-year-old female client is admitted to the labor and delivery unit at 0700hrs. She is 34 weeks pregnant and reports having low back pain and frequent urination since last night. She mentions that urination is painful and she can only pass a small amount each time.
Question 4 of 5
Given the client's symptoms and the progression of her condition, the nurse suspects that the client may be experiencing complications related to preterm labor and a possible urinary tract infection (UTI). For each characteristic in the table, select whether it is more likely to be associated with preterm labor, a urinary tract infection (UTI), or both. Each column must have at least one response option selected. Candidates can select as many options as apply for each column.
| Complication | Preterm Labor | Urinary Tract Infection (UTI) |
|---|---|---|
| Frequent urination | ||
| Low back pain | ||
| Temperature of 38.3°C (101°F) | ||
| Strong urge to push | ||
| Contractions every 1.5 minutes | ||
| Pain level of 8 on a scale of 0 to 10 |
Correct Answer: A: UTI, B: Both, C: UTI, D: Preterm Labor, E: Preterm Labor, F: Both
Rationale: Frequent urination is more likely associated with a UTI due to irritation of the urinary tract. Low back pain can be associated with both preterm labor (due to uterine contractions) and UTI (due to kidney involvement). A temperature of 38.3°C (101°F) is more likely associated with a UTI, as fever is a common symptom of infection. A strong urge to push is indicative of preterm labor as it suggests advanced labor progression. Contractions every 1.5 minutes are a clear sign of preterm labor. A pain level of 8 can be associated with both conditions due to severe contractions in labor or significant infection-related discomfort in UTI.
Extract:
A nurse is assisting a client who is postpartum with her first breastfeeding experience.
Question 5 of 5
When the client asks how much of the nipple she should put into the newborn's mouth, which of the following responses should the nurse make?
Correct Answer: A
Rationale: Placing the nipple and some areola ensures a proper latch for effective breastfeeding.