ATI RN
ATI NUR223 Absection 4 Maternity Final Exam Questions
Extract:
A nurse is caring for a newborn and assessing newborn reflexes.
Question 1 of 5
To elicit the Moro reflex, the nurse should take which of the following actions?
Correct Answer: B
Rationale: A sharp hand clap triggers the Moro reflex, causing the newborn to extend arms and legs outward, then pull them back.
Extract:
A nurse is assessing a client who is 12 hr postpartum following a vaginal delivery. The nurse notes that the fundus is firm, two fingerbreadths above the umbilicus, and deviated to the right.
Question 2 of 5
Which of the following actions should the nurse take?
Correct Answer: C
Rationale: A deviated fundus suggests bladder distension; assisting the client to void corrects uterine displacement.
Extract:
A nurse is caring for a client 2 hr after a spontaneous vaginal birth and the client has saturated two perineal pads with blood in a 30-min period.
Question 3 of 5
Which of the following is the priority nursing intervention at this time?
Correct Answer: C
Rationale: Excessive bleeding suggests uterine atony; palpating the fundus assesses uterine tone, guiding interventions to prevent hemorrhage.
Extract:
A nurse is providing preconception counseling for a client who is planning a pregnancy.
Question 4 of 5
Which of the following supplements should the nurse recommend to help prevent neural tube defects in the fetus?
Correct Answer: B
Rationale: Folic acid (400 mcg daily) significantly reduces the risk of neural tube defects like spina bifida.
Extract:
At midpoint during pregnancy, you review beginning signs of labor with a client.
Question 5 of 5
One of the beginning signs of labor you would review is:
Correct Answer: B
Rationale: A sudden gush of clear fluid indicates rupture of membranes, a common sign of labor onset, signaling the start of labor or impending delivery.