ATI RN
ATI Nur 232 Maternity Final Exam SP24 Questions
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 1 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 caring for a client who is postpartum and is breastfeeding. The client states that she is concerned about dietary precautions since she has a family history of food allergies.
Question 2 of 5
The nurse offers which of the following responses?
Correct Answer: D
Rationale: Avoiding peanuts may be cautious with a family history of allergies, though evidence suggests early exposure might reduce allergy risk.
Extract:
A nurse is completing discharge teaching to a client in her 35th week of pregnancy who has mild preeclampsia.
Question 3 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:
A nurse is caring for a client who is in active labor and notes late decelerations on the fetal monitor.
Question 4 of 5
Which of the following is the priority nursing action?
Correct Answer: A
Rationale: Positioning the client on her side is the priority to improve placental blood flow and address late decelerations indicating fetal hypoxia.
Extract:
A nurse is caring for a client who is receiving heparin 3,800 units subcutaneously daily. Available is heparin 5,000 units/mL.
Question 5 of 5
How many ml should the nurse administer? (Round the answer to the nearest tenth.)
Correct Answer: 0.8
Rationale:
To calculate: 3,800 units ÷ 5,000 units/mL = 0.76 mL, rounded to 0.8 mL.