ATI RN
ATI NUR223 Absection 4 Maternity Final Exam Questions
Extract:
A nurse on the labor and delivery unit is caring for a patient who is having induction of labor with oxytocin administered through a secondary IV line. Uterine contractions occur every 2 min, last 90 sec, and are strong to palpation. The baseline fetal heart rate is 150/min, with uniform decelerations beginning at the peak of the contraction and a return to baseline after the contraction is over.
Question 1 of 5
Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Late decelerations indicate uteroplacental insufficiency; discontinuing oxytocin reduces uterine hyperstimulation, improving fetal oxygenation.
Extract:
A nurse is completing discharge teaching to a client in her 35th week of pregnancy who has mild preeclampsia.
Question 2 of 5
Which of the following information about nutrition should be included in the teaching?
Correct Answer: A
Rationale: Avoiding salt reduces fluid retention, helping manage hypertension in mild preeclampsia.
Extract:
A nurse is planning care for a client who is 2 hours postpartum following a cesarean birth. The client has a history of thromboembolic disease.
Question 3 of 5
Which of the following nursing interventions should be included in the plan of care?
Correct Answer: A
Rationale: Early ambulation prevents venous stasis, reducing thromboembolism risk in high-risk clients.
Extract:
A nurse is assessing a client who is 12 hr postpartum following a vaginal delivery. The nurse notes that the fundus is firm, two fingerbreadths above the umbilicus, and deviated to the right.
Question 4 of 5
Which of the following actions should the nurse take?
Correct Answer: C
Rationale: A deviated fundus suggests bladder distension; assisting the client to void corrects uterine displacement.
Extract:
A nurse is caring for a client who is in active labor and notes late decelerations on the fetal monitor.
Question 5 of 5
Which of the following is the priority nursing action?
Correct Answer: C
Rationale: Positioning on the side, preferably left, improves placental perfusion, addressing late decelerations.