ATI RN
ATI Nur 232 Maternity Final Exam SP24 Questions
Extract:
While evaluating an external monitor tracing of a woman in active labor, the nurse observes that the FHR begins to decelerate late in the contraction, with the decelerations occurring after the peak of the contraction.
Question 1 of 5
What is the nurse's first priority?
Correct Answer: C
Rationale: Changing the woman's position is the first priority to improve placental blood flow and address late decelerations, which indicate uteroplacental insufficiency.
Extract:
A nurse in a prenatal clinic is caring for a client. Using Leopold maneuvers, the nurse palpates a round, firm, movable part in the fundus of the uterus and a long, smooth surface on the client's right side.
Question 2 of 5
In which abdominal quadrant should the nurse expect to auscultate fetal heart tones?
Correct Answer: D
Rationale: The findings suggest a breech position with the fetal back on the left, placing the fetal chest (and heart tones) in the right lower quadrant.
Extract:
A nurse is assessing a client who is 4 hours postpartum following a vaginal delivery.
Question 3 of 5
Which of the following findings should the nurse identify as the priority?
Correct Answer: C
Rationale: A saturated perineal pad in 30 minutes indicates potential postpartum hemorrhage, a life-threatening condition requiring immediate attention.
Extract:
A nurse in a community clinic is counseling a client who has been diagnosed with a sexually transmitted infection.
Question 4 of 5
What advice should the nurse provide?
Correct Answer: C
Rationale: Returning in 6 months for retesting ensures monitoring and confirmation of treatment efficacy for STIs, as some require follow-up testing.
Extract:
Nurse's Notes (0700hrs): Fetal heart tones (FHT): 145/min, Uterine contractions every 2 minutes, lasting 80 seconds, moderate intensity. Vital Signs (0700hrs): Client reports low back pain and frequent urination since last night. Urination is painful and only a small amount is passed each time. Abdomen is soft and nontender. Vaginal examination: 2 cm dilated, 100% effaced, 0 station. Bloody mucus noted on sterile glove. Medical History: G2P1, 34 weeks pregnant, No known allergies, Previous pregnancy was full-term with no complications. Diagnostic Results (0700hrs): Place client on electronic fetal monitor, Administer IV fluids, Monitor vital signs every hour, Notify provider of any changes in client status. A 28-year-old female client is admitted to the labor and delivery unit at 0700hrs. She is 34 weeks pregnant and reports having low back pain and frequent urination since last night. She mentions that urination is painful and she can only pass a small amount each time.
Question 5 of 5
Given the client's symptoms and the progression of her condition, the nurse suspects that the client may be experiencing complications related to preterm labor and a possible urinary tract infection (UTI). For each characteristic in the table, select whether it is more likely to be associated with preterm labor, a urinary tract infection (UTI), or both. Each column must have at least one response option selected. Candidates can select as many options as apply for each column.
| Complication | Preterm Labor | Urinary Tract Infection (UTI) |
|---|---|---|
| Frequent urination | ||
| Low back pain | ||
| Temperature of 38.3°C (101°F) | ||
| Strong urge to push | ||
| Contractions every 1.5 minutes | ||
| Pain level of 8 on a scale of 0 to 10 |
Correct Answer: A: UTI, B: Both, C: UTI, D: Preterm Labor, E: Preterm Labor, F: Both
Rationale: Frequent urination is more likely associated with a UTI due to irritation of the urinary tract. Low back pain can be associated with both preterm labor (due to uterine contractions) and UTI (due to kidney involvement). A temperature of 38.3°C (101°F) is more likely associated with a UTI, as fever is a common symptom of infection. A strong urge to push is indicative of preterm labor as it suggests advanced labor progression. Contractions every 1.5 minutes are a clear sign of preterm labor. A pain level of 8 can be associated with both conditions due to severe contractions in labor or significant infection-related discomfort in UTI.