ATI RN
ATI NUR223 Absection 4 Maternity Final Exam Questions
Extract:
A nurse is caring for a client who is at 36 weeks of gestation and who has suspected placenta previa. The client is admitted with bright red vaginal bleeding and no abdominal pain.
Question 1 of 5
Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Betamethasone promotes fetal lung maturity in case of preterm delivery, indicated for placenta previa with bleeding at 36 weeks.
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 preparing to administer vitamin K by IM injection to a newborn.
Question 3 of 5
The nurse should administer the medication into which of the following muscles?
Correct Answer: C
Rationale: The vastus lateralis is a safe, accessible site with adequate muscle mass for IM injections in newborns.
Extract:
A nurse in a prenatal clinic is caring for a client. Using Leopold maneuvers, the nurse palpates a round, firm, moveable part in the fundus of the uterus and a long, smooth surface on the client's right side.
Question 4 of 5
In which abdominal quadrant should the nurse expect to auscultate fetal heart tones?
Correct Answer: B
Rationale: The fetal back on the right side suggests the heart tones are best auscultated in the right upper quadrant, where the fetal back is located.
Extract:
A nurse is caring for a client who experienced a vaginal birth 3 hr ago. Upon palpation, the fundus is displaced to the right of midline, is firm, and is two fingerbreadths above the umbilicus.
Question 5 of 5
Which of the following actions should the nurse complete at this time?
Correct Answer: D
Rationale: A displaced fundus suggests a full bladder, which can inhibit uterine contraction; having the client urinate relieves bladder pressure and aids uterine positioning.