ATI RN
ATI Nur 232 Maternity Final Exam SP24 Questions
Extract:
A nurse is attending to a client 2 hours after a spontaneous vaginal birth and the client has saturated two perineal pads with blood within a 30-minute period.
Question 1 of 5
What should be the priority nursing intervention at this time?
Correct Answer: C
Rationale: Palpating the fundus is the priority to assess for uterine atony, a common cause of postpartum hemorrhage indicated by heavy bleeding.
Extract:
A nurse is providing nutritional guidance to a parent of a newborn.
Question 2 of 5
Which statement by the parent indicates an understanding of the teaching?
Correct Answer: C
Rationale: Waiting to give fruit juice until 6 months aligns with recommendations to avoid early introduction of sugary drinks.
Extract:
A nurse is caring for a client who is 4 hours postpartum following a vaginal birth. The client has saturated a perineal pad within 10 minutes.
Question 3 of 5
What should be the nurse's first action?
Correct Answer: A
Rationale: Massaging the fundus is the first action to address potential uterine atony, which may cause rapid bleeding, as indicated by the saturated pad.
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 4 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 is at 36 weeks of gestation and suspected of having placenta previa.
Question 5 of 5
Which of the following observations would support this diagnosis?
Correct Answer: D
Rationale: Painless red vaginal bleeding is a hallmark sign of placenta previa, caused by the placenta separating as the cervix effaces.