ATI RN
ATI Nur 232 Maternity Final Exam SP24 Questions
Extract:
A nurse is caring for a client who experienced a vaginal delivery 12 hr ago.
Question 1 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:
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 2 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 postpartum client on magnesium sulfate for preeclampsia suddenly developed severe headaches, floating spots in the field of vision, and right upper quadrant abdominal pain. Vital signs are BP= 164/100, HR= 96, RR= 16. Laboratory results show liver enzymes are AST = 890, ALT= 980, and platelets = 25,000.
Question 3 of 5
This client most likely developed which condition?
Correct Answer: A
Rationale: The symptoms and lab results (elevated liver enzymes, low platelets) indicate HELLP Syndrome, a severe form of preeclampsia.
Extract:
A nurse is assisting a client with breastfeeding.
Question 4 of 5
The nurse explains that which of the following reflexes will promote the newborn to latch?
Correct Answer: C
Rationale: The rooting reflex helps newborns turn toward a stimulus and open their mouth to latch during breastfeeding.
Extract:
A nurse is caring for a patient who is 7 days postpartum and calls the clinic to report pain and redness in her left calf.
Question 5 of 5
Besides seeing her provider, which interventions should the nurse suggest?
Correct Answer: D
Rationale: Elevating the leg reduces swelling and improves blood flow, helping alleviate symptoms of a potential deep vein thrombosis.