Questions 74

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ATI Nur 232 Maternity Final Exam SP24 Questions

Extract:

A nurse in a prenatal clinic is caring for a client whose blood pressure is 80/40 mm Hg. The client's last menstrual period was on May 4, 2023.


Question 1 of 5

What would be the estimated due date for the client?

Correct Answer: D

Rationale: Using Nägele's Rule: May 4, 2023 + 7 days = May 11, 2023; subtract 3 months = February 11, 2023; add 1 year = February 11, 2024.

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:

What is the role of a nurse in assessing a pregnant woman's diet?


Question 3 of 5

Assess her skin for hydration and color

Correct Answer: C

Rationale: Asking the client to describe her intake for the last week provides a direct and accurate assessment of her current dietary habits.

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 4 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 in a clinic is caring for a client who is 3 weeks postpartum following the birth of a healthy newborn. The client reports feeling 'down', sad, having no energy, and wanting to cry.


Question 5 of 5

Which of the following is a priority action by the nurse?

Correct Answer: C

Rationale: Asking if the client has considered harming her newborn is the priority to assess for postpartum depression and ensure the safety of the newborn and mother.

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