ATI RN
ATI NUR223 Absection 4 Maternity Final Exam Questions
Extract:
A nurse is caring for a client who is at 38 weeks of gestation and is in active labor. The client's cervix is 6 cm dilated and the fetal heart tracing is reactive. The client reports intense, continuous pain that is not relieved between contractions.
Question 1 of 5
Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: Intense, continuous pain unrelieved by contractions suggests a complication like placental abruption; notifying the provider is urgent.
Extract:
A nurse is caring for a client who experienced a vaginal delivery 12 hr ago. The nurse recognizes the client is in the dependent, taking in phase of maternal postpartum adjustment.
Question 2 of 5
Which of the following findings should the nurse expect during this phase?
Correct Answer: C
Rationale: In the dependent, taking-in phase, mothers express excitement and focus on their own needs, relying on others for support.
Extract:
A nurse is teaching a client who is postpartum and has a new prescription for an injection of Rh(D) immunoglobulin.
Question 3 of 5
Which of the following should be included in the teaching?
Correct Answer: A
Rationale: Rh immunoglobulin prevents Rh-negative mothers from developing antibodies against Rh-positive fetal blood cells, protecting future pregnancies from hemolytic disease of the newborn.
Extract:
A nurse is caring for a client who is at 32 weeks of gestation and has gestational diabetes mellitus. The client reports she has not felt fetal movement for 12 hr.
Question 4 of 5
Which of the following actions should the nurse take first?
Correct Answer: B
Rationale: Auscultating the fetal heart rate assesses fetal well-being immediately, guiding further actions for decreased fetal movement.
Extract:
A nurse in the labor and delivery unit is caring for a client who is undergoing external fetal monitoring. The nurse observes that the fetal heart rate begins to slow after the start of a contraction and the lowest rate occurs after the peak of the contraction.
Question 5 of 5
Which of the following actions should the nurse take first?
Correct Answer: C
Rationale: Late decelerations suggest uteroplacental insufficiency; lateral positioning improves placental blood flow.