ATI RN
ATI Nur 232 Maternity Final Exam SP24 Questions
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 1 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 providing discharge teaching to a client who is 3 days postoperative following a cesarean birth.
Question 2 of 5
Which of the following client statements should indicate to the nurse the teaching is effective? (Select all that apply)
Correct Answer: A, D
Rationale: Reporting incision discharge and recognizing unrelieved abdominal pain as abnormal indicate effective teaching. Expecting a fever and prolonged recliner rest are incorrect.
Extract:
A nurse is providing nutritional guidance to a parent of a newborn.
Question 3 of 5
Which statement by the parent indicates an understanding of the teaching?
Correct Answer: C
Rationale: Waiting to give fruit juice until 6 months aligns with recommendations to avoid early introduction of sugary drinks.
Extract:
What is the role of a nurse in assessing a pregnant woman's diet?
Question 4 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:
What is important for a woman to understand before undergoing a scheduled tubal ligation?
Question 5 of 5
She should schedule it to be done just before a menstrual flow
Correct Answer: D
Rationale: Tubal ligation should be considered irreversible due to the low success rate of reversal procedures.