ATI RN
ATI Nur 232 Maternity Final Exam SP24 Questions
Extract:
A nurse in a labor unit is admitting a patient who reports experiencing painful contractions. The nurse determines that the contractions last for 1 minute and occur every 3 minutes. The nurse records the following vital signs: fetal heart rate of 130/min, maternal heart rate of 128/min, and maternal blood pressure of 92/54 mm Hg.
Question 1 of 5
What should the nurse prioritize doing next?
Correct Answer: A
Rationale: Notifying the provider is the priority due to the frequent contractions and low maternal blood pressure, which may indicate rapid labor progression or instability.
Extract:
A nurse is caring for a client who is at 38 weeks of gestation and is in the first stage of labor.
Question 2 of 5
Which of the following assessment findings should the nurse report to the provider first?
Correct Answer: C
Rationale: A continuous contraction lasting 2 minutes is abnormal and may indicate uterine hyperstimulation or tetanic contractions, requiring immediate reporting to prevent fetal distress.
Extract:
A nurse is providing preconception counseling for a client who is planning a pregnancy.
Question 3 of 5
Which of the following supplements should the nurse recommend to help prevent defects in the fetus?
Correct Answer: D
Rationale: Folic acid is recommended to prevent neural tube defects in the fetus.
Extract:
A nurse is preparing to administer magnesium sulfate IV to a client who is in labor.
Question 4 of 5
Which of the following is the primary nursing assessment for this client?
Correct Answer: C
Rationale: Monitoring respiratory rate is primary due to the risk of respiratory depression from magnesium sulfate, a critical side effect.
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 5 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.