ATI RN
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.