ATI RN
ATI Nur 232 Maternity Final Exam SP24 Questions
Extract:
A nurse in the labor and delivery unit is caring for a client who is undergoing external fetal monitoring. The nurse observes that the fetal heart rate begins to slow after the start of a contraction and the lowest rate occurs after the peak of the contraction.
Question 1 of 5
Which of the following actions should the nurse take first?
Correct Answer: C
Rationale: Placing the client in the lateral position is the first action to improve placental blood flow and address late decelerations.
Extract:
A nurse is formulating a care plan for a newborn who is small for gestational age (SGA).
Question 2 of 5
Which of the following should be the priority intervention in the newborn's care plan?
Correct Answer: D
Rationale: Monitoring blood glucose levels is the priority for SGA newborns due to the risk of hypoglycemia from limited glycogen stores.
Extract:
A nurse is caring for a client who is experiencing a decrease in the fetal heart rate.
Question 3 of 5
Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Changing the client's position is the first action to relieve potential umbilical cord compression, which may improve fetal heart rate.
Extract:
A nurse is caring for a client who gave birth 2 hours ago. The nurse notes that the client's blood pressure is 60 mm Hg.
Question 4 of 5
Which of the following actions should the nurse take first?
Correct Answer: B
Rationale: Evaluating the firmness of the uterus is the first action to identify uterine atony, a common cause of postpartum hemorrhage leading to low blood pressure. Other actions follow based on findings.
Extract:
A nurse is providing instructions to a pregnant client with genital herpes about the measures that are needed to protect the fetus.
Question 5 of 5
What information should the nurse give to the client?
Correct Answer: A, E
Rationale: A cesarean section prevents neonatal herpes transmission if lesions are present at labor. Valacyclovir suppressive therapy after 36 weeks reduces outbreak risk.