Questions 74

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ATI Nur 232 Maternity Final Exam SP24 Questions

Extract:

A nurse is caring for a client who is 2 hours postpartum. The nurse notes that the client soaked a perineal pad in 10 minutes, the client's skin color is ashen, and she states she feels weak and light-headed. After applying oxygen via a non-rebreather face mask at 10 L/min.


Question 1 of 5

Which of the following actions should the nurse take next?

Correct Answer: C

Rationale: Massaging the fundus is the next action to address postpartum hemorrhage, indicated by heavy bleeding and symptoms of shock, by promoting uterine contractions to control bleeding.

Extract:

A nurse is providing discharge teaching to a client who is 3 days postoperative following a cesarean birth.


Question 2 of 5

Which of the following client statements should indicate to the nurse the teaching is effective? (Select all that apply)

Correct Answer: A, D

Rationale: Reporting incision discharge and recognizing unrelieved abdominal pain as abnormal indicate effective teaching. Expecting a fever and prolonged recliner rest are incorrect.

Extract:

A nurse is preparing to administer magnesium sulfate IV to a client who is in labor.


Question 3 of 5

Which of the following is the primary nursing assessment for this client?

Correct Answer: C

Rationale: Monitoring respiratory rate is primary due to the risk of respiratory depression from magnesium sulfate, a critical side effect.

Extract:

A nurse in a clinic is caring for a client who is 3 weeks postpartum following the birth of a healthy newborn. The client reports feeling 'down', sad, having no energy, and wanting to cry.


Question 4 of 5

Which of the following is a priority action by the nurse?

Correct Answer: C

Rationale: Asking if the client has considered harming her newborn is the priority to assess for postpartum depression and ensure the safety of the newborn and mother.

Extract:

A nurse is caring for a client who is postpartum and is breastfeeding. The client states that she is concerned about dietary precautions since she has a family history of food allergies.


Question 5 of 5

The nurse offers which of the following responses?

Correct Answer: D

Rationale: Avoiding peanuts may be cautious with a family history of allergies, though evidence suggests early exposure might reduce allergy risk.

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