Questions 74

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ATI Nur 232 Maternity Final Exam SP24 Questions

Extract:

A postpartum client on magnesium sulfate for preeclampsia suddenly developed severe headaches, floating spots in the field of vision, and right upper quadrant abdominal pain. Vital signs are BP= 164/100, HR= 96, RR= 16. Laboratory results show liver enzymes are AST = 890, ALT= 980, and platelets = 25,000.


Question 1 of 5

This client most likely developed which condition?

Correct Answer: A

Rationale: The symptoms and lab results (elevated liver enzymes, low platelets) indicate HELLP Syndrome, a severe form of preeclampsia.

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 caring for a client who is in labor and assists the provider who performs an amniotomy.


Question 3 of 5

Which of the following is the priority action by the nurse following the procedure?

Correct Answer: A

Rationale: Assessing the fetal heart rate is the priority post-amniotomy to detect any distress from cord compression or other complications.

Extract:

A nurse is assessing a client who is pregnant for preeclampsia.


Question 4 of 5

Which of the following findings should indicate to the nurse that the client requires further evaluation for this disorder?

Correct Answer: A

Rationale: Elevated blood pressure is a key indicator of preeclampsia, warranting further evaluation.

Extract:

A nurse is caring for a client who is 12 hours postpartum following a vaginal delivery.


Question 5 of 5

Which of the following findings should the nurse expect?

Correct Answer: C

Rationale: A firm fundus at the umbilicus is expected 12 hours postpartum, indicating proper uterine contraction.

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