ATI RN
ATI NUR223 Absection 4 Maternity Final Exam Questions
Extract:
A nurse is caring for a client who experienced a vaginal birth 3 hr ago. Upon palpation, the fundus is displaced to the right of midline, is firm, and is two fingerbreadths above the umbilicus.
Question 1 of 5
Which of the following actions should the nurse complete at this time?
Correct Answer: D
Rationale: A displaced fundus suggests a full bladder, which can inhibit uterine contraction; having the client urinate relieves bladder pressure and aids uterine positioning.
Extract:
A nurse is caring for a client who is a primigravida, at term, and having contractions but is stating that she is 'not really sure if she is in labor or not.'
Question 2 of 5
Which of the following should the nurse recognize as a sign of true labor?
Correct Answer: D
Rationale: Cervical dilation and effacement are definitive signs of true labor, distinguishing it from false labor.
Extract:
A nurse in a prenatal clinic is caring for a client. Using Leopold maneuvers, the nurse palpates a round, firm, moveable part in the fundus of the uterus and a long, smooth surface on the client's right side.
Question 3 of 5
In which abdominal quadrant should the nurse expect to auscultate fetal heart tones?
Correct Answer: B
Rationale: The fetal back on the right side suggests the heart tones are best auscultated in the right upper quadrant, where the fetal back is located.
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 4 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 is preparing to administer 250 mg of an antibiotic IM to a pregnant client for a STI. Available is 3 g/5 mL.
Question 5 of 5
How many mL should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 0.4
Rationale: Calculate: 250 mg / (3000 mg/5 mL) = 250 / 600 = 0.4167 mL, rounded to 0.4 mL.