ATI RN
ATI Nur 232 Maternity Final Exam SP24 Questions
Extract:
A nurse is caring for a client who is at 22 weeks of gestation and has been unable to control her gestational diabetes mellitus with diet and exercise.
Question 1 of 5
The nurse should anticipate a prescription from the provider for which of the following medications for the client?
Correct Answer: B
Rationale: Insulin is the preferred medication for gestational diabetes when diet and exercise are insufficient, as it is safe and effective during pregnancy.
Extract:
A nurse in the newborn unit is caring for several infants.
Question 2 of 5
Which of the following situations requires the nurse's immediate attention and intervention?
Correct Answer: D
Rationale: Not passing meconium within 24 hours may indicate a bowel obstruction like meconium ileus, requiring immediate attention. Not voiding within 24 hours, acrocyanosis, and a temperature of 37.5°C are typically normal or less urgent findings.
Extract:
A nurse is assessing a newborn immediately after a scheduled cesarean delivery.
Question 3 of 5
Which of the following assessments should be the nurse's priority?
Correct Answer: C
Rationale: Respiratory distress is the priority assessment post-cesarean due to the risk of transient tachypnea of the newborn.
Extract:
A nurse is caring for an adolescent client who is gravida 1 and para 0. The client was admitted to the hospital at 38 weeks of gestation with a diagnosis of preeclampsia.
Question 4 of 5
Which of the following findings should the nurse identify as inconsistent with preeclampsia?
Correct Answer: A
Rationale: Deep tendon reflexes of +1 are normal and inconsistent with preeclampsia, which typically involves hyperreflexia (+3 or +4).
Extract:
A nurse is attending to a client 2 hours after a spontaneous vaginal birth and the client has saturated two perineal pads with blood within a 30-minute period.
Question 5 of 5
What should be the priority nursing intervention at this time?
Correct Answer: C
Rationale: Palpating the fundus is the priority to assess for uterine atony, a common cause of postpartum hemorrhage indicated by heavy bleeding.