Questions 74

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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.

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