ATI RN
ATI NUR223 Absection 4 Maternity Final Exam Questions
Extract:
A nurse is providing instructions to a pregnant client with genital herpes about the measures that are needed to protect the fetus.
Question 1 of 5
What information does the nurse give to the client? (Select all that apply.)
Correct Answer: B,C,D
Rationale: B: Sitz baths manage lesions. C: Cesarean prevents transmission. D: Valacyclovir reduces outbreak risk.
Extract:
A nurse in a prenatal clinic is caring for a client who asks what her estimated date of delivery will be if her last menstrual period was May 4, 2023.
Question 2 of 5
Which of the following is the appropriate response by the nurse?
Correct Answer: B
Rationale: Using Naegele's rule: May 4, 2023 + 7 days - 3 months + 1 year = February 11, 2024.
Extract:
A nurse is caring for a client who is pregnant. Vital Signs: 1100: Temperature: 37.2°C (98.9°F), Pulse rate: 80/min, Respiratory rate: 16/min, Blood Pressure: 136/79 mm Hg; 1200: Pulse rate: 90/min, Respiratory rate: 20/min, Blood Pressure: 134/82 mm Hg. Medical History: Gravida 4 Para 3, 32 weeks of gestation, BMI: 32, History of two newborns weighing over 4.5 kg (10 lb), Family history of type one diabetes mellitus (maternal), Fetal heart tones: 140/min via Doppler. Diagnostic Results: 1115: Fasting blood glucose: 138 mg/dL (60 to 105 mg/dL); 1200: Fasting blood glucose: 142 mg/dL (60 to 105 mg/dL), HbA1c: 12% (less than 6.5%); 1220: Urinalysis: Appearance: clear, Color: amber yellow.
Question 3 of 5
Which of the following provider prescriptions should the nurse plan to implement? Select the 3 actions the nurse should plan to take.
Correct Answer: A,C,D
Rationale: A: Limits glucose spikes. C: Metformin manages gestational diabetes. D: Monitors fetal well-being.
Extract:
A nurse is teaching a client who is postpartum and has a new prescription for an injection of Rh(D) immunoglobulin.
Question 4 of 5
Which of the following should be included in the teaching?
Correct Answer: A
Rationale: Rh immunoglobulin prevents Rh-negative mothers from developing antibodies against Rh-positive fetal blood cells, protecting future pregnancies from hemolytic disease of the newborn.
Extract:
A nurse is caring for a client who is 4 hr postpartum following a vaginal birth. The client has saturated a perineal pad within 10 min.
Question 5 of 5
Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: Rapid pad saturation suggests uterine atony; fundal massage promotes contraction to control bleeding.