ATI RN
ATI Nur 232 Maternity Final Exam SP24 Questions
Extract:
A nurse is caring for a client who had a vaginal delivery 2 hours ago.
Question 1 of 5
Which of the following actions should the nurse anticipate in the care of this client? (Select all that apply.)
Correct Answer: A, C, E
Rationale: Observing lochia assesses bleeding, determining fundus position ensures proper uterine contraction, and administering methylergonovine maleate may be needed for a boggy uterus. Massaging a firm fundus and documenting fundal height are not typically required.
Extract:
A nurse is caring for a client who is at 37 weeks of gestation and has placenta previa. The client asks why the provider does not do an internal examination.
Question 2 of 5
Which of the following explanations of the primary reason should the nurse provide?
Correct Answer: C
Rationale: An internal examination in placenta previa could disturb the low-lying placenta, causing severe bleeding, which is the primary reason to avoid it.
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 3 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.
Extract:
A nurse in a prenatal clinic is caring for a client who is at 39 weeks of gestation and who asks about the signs that precede the onset of labor.
Question 4 of 5
Which of the following should the nurse identify as a sign that precedes labor?
Correct Answer: D
Rationale: A surge of energy, or 'nesting,' is a common sign preceding labor. Increased vaginal discharge, sudden weight gain, and urinary retention are not typical pre-labor signs.
Extract:
A nurse is assisting a client who is postpartum with her first breastfeeding experience.
Question 5 of 5
When the client asks how much of the nipple she should put into the newborn's mouth, which of the following responses should the nurse make?
Correct Answer: A
Rationale: Placing the nipple and some areola ensures a proper latch for effective breastfeeding.