ATI RN
ATI NUR223 Absection 4 Maternity Final Exam Questions
Extract:
A nurse is caring for a client who had a vaginal delivery 2 hr 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,B,C,D
Rationale: A: Assesses bleeding. B: Treats atony. C: Monitors involution. D: Confirms uterine position.
Extract:
A nurse is caring for a client who is at 12 weeks of gestation. The client asks why she needs an ultrasound examination.
Question 2 of 5
Which of the following responses should the nurse provide?
Correct Answer: D
Rationale: An early ultrasound at 12 weeks primarily confirms a viable pregnancy by detecting fetal heartbeat and assessing gestational age.
Extract:
A nurse is caring for a client who is at 36 weeks of gestation and who has suspected placenta previa. The client is admitted with bright red vaginal bleeding and no abdominal pain.
Question 3 of 5
Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Betamethasone promotes fetal lung maturity in case of preterm delivery, indicated for placenta previa with bleeding at 36 weeks.
Extract:
A nurse in a hospital is caring for a client who is at 38 weeks of gestation and has a large amount of painless, bright red vaginal bleeding. The client is placed on a fetal monitor indicating a regular fetal heart rate of 138/min and no uterine contractions. The client's vital signs are: blood pressure 98/52 mm Hg, heart rate 118/min, respiratory rate 24/min, and temperature 36.4° C (97.6° F).
Question 4 of 5
Which of the following is the priority nursing action?
Correct Answer: D
Rationale: IV access is critical for fluid resuscitation and medication administration in suspected placenta previa with hemorrhage.
Extract:
A nurse is caring for a client who is in labor and assists the provider who performs an amniotomy.
Question 5 of 5
Which of the following is the priority action by the nurse following the procedure?
Correct Answer: D
Rationale: Assessing fetal heart rate post-amniotomy detects potential cord prolapse or distress, ensuring fetal well-being.