ATI RN
ATI Nur 232 Maternity Final Exam SP24 Questions
Extract:
The nurse is conducting a newborn assessment and identifies a collection of blood beneath the newborn's scalp that does not cross the suture lines.
Question 1 of 5
How should the nurse document this finding?
Correct Answer: C
Rationale: Cephalohematoma is a collection of blood under the scalp that does not cross suture lines, caused by trauma during delivery.
Extract:
A nurse is providing instructions to a pregnant client with genital herpes about the measures that are needed to protect the fetus.
Question 2 of 5
What information should the nurse give to the client?
Correct Answer: A, E
Rationale: A cesarean section prevents neonatal herpes transmission if lesions are present at labor. Valacyclovir suppressive therapy after 36 weeks reduces outbreak risk.
Extract:
A nurse is assisting a client with breastfeeding.
Question 3 of 5
The nurse explains that which of the following reflexes will promote the newborn to latch?
Correct Answer: C
Rationale: The rooting reflex helps newborns turn toward a stimulus and open their mouth to latch during breastfeeding.
Extract:
Nurses Notes at 0700: The client reports feeling generally well but mentions occasional episodes of dizziness and increased thirst. She has been monitoring her blood glucose levels at home and notes that they have been higher than usual. The client is concerned about the impact of her blood glucose levels on her pregnancy. She has been following a diet plan but admits to occasional deviations. The client denies any abdominal pain or contractions. Fetal movements are reported as normal. The client is advised to continue monitoring her blood glucose levels and to report any significant changes. Vital Signs at 0700: Temperature: 37.2°C (98.96°F), Blood Pressure: 130/85 mmHg, Heart Rate: 88 bpm, Respiratory Rate: 18 breaths/min. Diagnostic Results at 0700: Fasting blood glucose: 138 mg/dL (60 to 105 mg/dL), HbA1c: 6.4% (less than 6.5%), Urinalysis: Appearance: Clear, Color: Amber yellow, pH: 8.0 (4.6 to 8.0), Positive urine glucose (expected negative), 3+ ketones (expected negative), Urine specific gravity: 1.020 (1.005 to 1.030).
Question 4 of 5
Which of the following provider prescriptions should the nurse plan to implement? Select the 3 actions the nurse should plan to take.
Correct Answer: A, B, C
Rationale: Conducting a non-stress test twice per week monitors fetal well-being in high-risk pregnancies like gestational diabetes. Monitoring blood glucose daily is essential to manage gestational diabetes and prevent complications. Referring to a dietitian helps tailor a meal plan to control blood glucose. Refraining from physical activity is not recommended as exercise helps manage blood glucose levels.
Extract:
A nurse in a prenatal clinic is caring for a client who is suspected of having a hydatidiform mole.
Question 5 of 5
Which of the following findings should the nurse expect to observe in this client?
Correct Answer: A
Rationale: Excessive uterine enlargement is expected in hydatidiform mole due to trophoblastic overgrowth.