ATI RN
ATI NUR223 Absection 4 Maternity Final Exam Questions
Extract:
A nurse is caring for a client who is in labor and has an external fetal monitor. The nurse observes variable decelerations in the fetal heart rate pattern.
Question 1 of 5
Which of the following actions should the nurse take first?
Correct Answer: B
Rationale: Variable decelerations suggest cord compression; the knee-chest position relieves pressure, improving fetal oxygenation.
Extract:
A nurse is caring for a client 2 hr after a spontaneous vaginal birth and the client has saturated two perineal pads with blood in a 30-min period.
Question 2 of 5
Which of the following is the priority nursing intervention at this time?
Correct Answer: C
Rationale: Excessive bleeding suggests uterine atony; palpating the fundus assesses uterine tone, guiding interventions to prevent hemorrhage.
Extract:
A nurse is providing teaching to the mother of a newborn born small for gestational age.
Question 3 of 5
Which of the following should the nurse include as a possible cause of this condition?
Correct Answer: D
Rationale: Placental insufficiency restricts nutrient and oxygen supply, causing intrauterine growth restriction and SGA.
Extract:
A nurse is caring for a client who is postpartum and has a prescription for methylergonovine maleate.
Question 4 of 5
Which of the following findings is a contraindication for administering this medication?
Correct Answer: A
Rationale: Methylergonovine is contraindicated in hypertension due to its vasoconstrictive effects, which can exacerbate high blood pressure.
Extract:
A nurse is caring for a client who is at 37 weeks of gestation and has placenta previa. The client asks why the provider does not do an internal examination.
Question 5 of 5
Which of the following explanations of the primary reason should the nurse provide?
Correct Answer: A
Rationale: Internal examination in placenta previa risks disrupting the placenta, causing severe hemorrhage due to its low-lying position over the cervix.