ATI RN
ATI Nur 232 Maternity Final Exam SP24 Questions
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 1 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:
A nurse is caring for a client who is in labor and has an epidural anesthesia block. The client's blood pressure is 80/40 mm Hg and the fetal heart rate is 140/min.
Question 2 of 5
Which of the following is the priority nursing action?
Correct Answer: A
Rationale: Placing the client in a lateral position is the priority to improve uterine and placental blood flow, addressing hypotension from epidural anesthesia.
Extract:
A nurse is formulating a care plan for a newborn who is small for gestational age (SGA).
Question 3 of 5
Which of the following should be the priority intervention in the newborn's care plan?
Correct Answer: D
Rationale: Monitoring blood glucose levels is the priority for SGA newborns due to the risk of hypoglycemia from limited glycogen stores.
Extract:
A nurse is caring for a client who experienced a vaginal birth 12 hours ago. The nurse recognizes the client is in the dependent, taking in phase of maternal postpartum adjustment.
Question 4 of 5
Which of the following findings should the nurse expect during this phase?
Correct Answer: B
Rationale: Expressions of excitement are typical in the taking-in phase, where the mother focuses on her birth experience and is often talkative and excited.
Extract:
A nurse is admitting a patient who is at 30 weeks of gestation and is in preterm labor. The patient has a new prescription for betamethasone and asks the nurse about the purpose of this medication.
Question 5 of 5
Which explanation should the nurse provide?
Correct Answer: B
Rationale: Betamethasone promotes fetal lung maturity, reducing the risk of respiratory distress in preterm infants.