ATI RN
ATI NUR223 Absection 4 Maternity Final Exam Questions
Extract:
A nurse is assessing a client who is 6 hr postpartum following a vaginal delivery. The client reports perineal pain rated as 4 on a scale of 0 to 10.
Question 1 of 5
Which of the following actions should the nurse take?
Correct Answer: C
Rationale: An ice pack reduces perineal pain and swelling in the early postpartum period, providing immediate relief.
Extract:
A nurse is caring for a client who is in active labor with 7 cm of cervical dilation and 100% effacement. The fetus is at 1+ station, and the client's amniotic membranes are intact. The client suddenly states that she needs to push.
Question 2 of 5
Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The urge to push at 7 cm dilation suggests rapid labor progression; observing for crowning confirms if delivery is imminent.
Extract:
At midpoint during pregnancy, you review beginning signs of labor with a client.
Question 3 of 5
One of the beginning signs of labor you would review is:
Correct Answer: B
Rationale: A sudden gush of clear fluid indicates rupture of membranes, a common sign of labor onset, signaling the start of labor or impending delivery.
Extract:
A nurse is caring for an adolescent client who is gravida 1 and para 0, admitted at 38 weeks of gestation with a diagnosis of preeclampsia.
Question 4 of 5
Which of the following findings should the nurse identify as inconsistent with preeclampsia?
Correct Answer: B
Rationale: Deep tendon reflexes of +1 (normal or slightly increased) are inconsistent with preeclampsia, which typically presents with hyperreflexia due to central nervous system irritability.
Extract:
A nurse in a prenatal clinic is teaching a client who is in her second trimester and has a new diagnosis of gestational diabetes.
Question 5 of 5
Which of the following statements by the client indicates a need for further teaching?
Correct Answer: B
Rationale: Carbohydrate intake should be individualized, not fixed at 50%; further teaching is needed for dietary management.