ATI RN
ATI NUR223 Absection 4 Maternity Final Exam Questions
Extract:
A nurse is caring for a client who is 4 hr postpartum following a vaginal birth. The client has saturated a perineal pad within 10 min.
Question 1 of 5
Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: Rapid pad saturation suggests uterine atony; fundal massage promotes contraction to control bleeding.
Extract:
A nurse is caring for a newborn and assessing newborn reflexes.
Question 2 of 5
To elicit the Moro reflex, the nurse should take which of the following actions?
Correct Answer: B
Rationale: A sharp hand clap triggers the Moro reflex, causing the newborn to extend arms and legs outward, then pull them back.
Extract:
A nurse is caring for a client who gave birth 2 hr ago. The nurse notes that the client's blood pressure is 60/50 mm Hg.
Question 3 of 5
Which of the following actions should the nurse take first?
Correct Answer: B
Rationale: Hypotension postpartum often results from uterine atony; evaluating uterine firmness identifies the cause of bleeding, guiding immediate interventions.
Extract:
A nurse is caring for a client who is at 32 weeks of gestation and has gestational diabetes mellitus. The client reports she has not felt fetal movement for 12 hr.
Question 4 of 5
Which of the following actions should the nurse take first?
Correct Answer: B
Rationale: Auscultating the fetal heart rate assesses fetal well-being immediately, guiding further actions for decreased fetal movement.
Extract:
A nurse places a newborn under a radiant heat warmer after birth.
Question 5 of 5
The purpose of this action is to prevent which of the following in the newborn?
Correct Answer: B
Rationale: A radiant heat warmer prevents cold stress, which can lead to hypothermia and metabolic complications.