ATI RN
ATI Nur 232 Maternity Final Exam SP24 Questions
Extract:
A nurse is examining a client who is in active labor and observes that the presenting part is in the left occiput posterior position.
Question 1 of 5
What is the clinical interpretation of this finding?
Correct Answer: D
Rationale: The finding indicates the fetal head is in the left occiput posterior position, describing the orientation of the fetal head.
Extract:
A nurse is caring for a client who gave birth 2 hours ago. The nurse notes that the client's blood pressure is 60 mm Hg.
Question 2 of 5
Which of the following actions should the nurse take first?
Correct Answer: B
Rationale: Evaluating the firmness of the uterus is the first action to identify uterine atony, a common cause of postpartum hemorrhage leading to low blood pressure. Other actions follow based on findings.
Extract:
Nurses Notes at 0700: The client reports feeling generally well but mentions occasional episodes of dizziness and increased thirst. She has been monitoring her blood glucose levels at home and notes that they have been higher than usual. The client is concerned about the impact of her blood glucose levels on her pregnancy. She has been following a diet plan but admits to occasional deviations. The client denies any abdominal pain or contractions. Fetal movements are reported as normal. The client is advised to continue monitoring her blood glucose levels and to report any significant changes. Vital Signs at 0700: Temperature: 37.2°C (98.96°F), Blood Pressure: 130/85 mmHg, Heart Rate: 88 bpm, Respiratory Rate: 18 breaths/min. Diagnostic Results at 0700: Fasting blood glucose: 138 mg/dL (60 to 105 mg/dL), HbA1c: 6.4% (less than 6.5%), Urinalysis: Appearance: Clear, Color: Amber yellow, pH: 8.0 (4.6 to 8.0), Positive urine glucose (expected negative), 3+ ketones (expected negative), Urine specific gravity: 1.020 (1.005 to 1.030).
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, B, C
Rationale: Conducting a non-stress test twice per week monitors fetal well-being in high-risk pregnancies like gestational diabetes. Monitoring blood glucose daily is essential to manage gestational diabetes and prevent complications. Referring to a dietitian helps tailor a meal plan to control blood glucose. Refraining from physical activity is not recommended as exercise helps manage blood glucose levels.
Extract:
A nurse is caring for a client who experienced a vaginal delivery 12 hr ago.
Question 4 of 5
When palpating the client's abdomen, at which of the following positions should the nurse expect to find the uterine fundus?
Correct Answer: A
Rationale: The uterine fundus is expected to be at the level of the umbilicus 12 hours post-delivery, indicating normal uterine involution.
Extract:
A nurse in a hospital is caring for a client who is at 38 weeks of gestation and has a large amount of painless, bright red vaginal bleeding. The client is placed on a fetal monitor indicating a regular fetal heart rate of 138/min and no uterine contractions. The client's vital signs are: blood pressure 98/52 mm Hg, heart rate 118/min, respiratory rate 24/min, and temperature 36.4° C (97.6° F).
Question 5 of 5
Which of the following is the priority nursing action?
Correct Answer: B
Rationale: Initiating IV access is the priority to address rapid blood loss and hypotension, allowing for fluid or blood administration.