ATI RN
ATI NUR223 Absection 4 Maternity Final Exam Questions
Extract:
A nurse is caring for a client who is postpartum and finds the fundus slightly boggy and displaced to the right.
Question 1 of 5
Which of the following actions should the nurse take?
Correct Answer: A
Rationale: A boggy, displaced fundus indicates possible bladder distension; voiding relieves pressure, aiding uterine contraction.
Extract:
A nurse is caring for a client who is pregnant. Vital Signs: 1100: Temperature: 37.2°C (98.9°F), Pulse rate: 80/min, Respiratory rate: 16/min, Blood Pressure: 136/79 mm Hg; 1200: Pulse rate: 90/min, Respiratory rate: 20/min, Blood Pressure: 134/82 mm Hg. Medical History: Gravida 4 Para 3, 32 weeks of gestation, BMI: 32, History of two newborns weighing over 4.5 kg (10 lb), Family history of type one diabetes mellitus (maternal), Fetal heart tones: 140/min via Doppler. Diagnostic Results: 1115: Fasting blood glucose: 138 mg/dL (60 to 105 mg/dL); 1200: Fasting blood glucose: 142 mg/dL (60 to 105 mg/dL), HbA1c: 12% (less than 6.5%); 1220: Urinalysis: Appearance: clear, Color: amber yellow.
Question 2 of 5
Which of the following provider prescriptions should the nurse plan to implement? Select the 3 actions the nurse should plan to take.
Correct Answer: A,C,D
Rationale: A: Limits glucose spikes. C: Metformin manages gestational diabetes. D: Monitors fetal well-being.
Extract:
A nurse is teaching the parent of a newborn about car seat use.
Question 3 of 5
Which of the following information should the nurse include?
Correct Answer: C
Rationale: A 45-degree angle ensures an open airway and prevents head slumping, per safety guidelines.
Extract:
A nurse is preparing to administer magnesium sulfate IV to a client who is experiencing preterm labor.
Question 4 of 5
Which of the following is the priority nursing assessment for this client?
Correct Answer: C
Rationale: Magnesium sulfate can depress respiratory function; monitoring respiratory rate is critical to detect toxicity.
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
Which of the following responses should the nurse offer?
Correct Answer: D
Rationale: Avoiding peanuts may reduce allergic sensitization in infants with a family history of food allergies.