ATI RN
ATI NUR223 Absection 4 Maternity Final Exam 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: Late decelerations suggest uteroplacental insufficiency; lateral positioning improves placental blood flow.
Extract:
A nurse is caring for a client who is receiving oxytocin for labor induction. The nurse notes recurrent late decelerations on the fetal heart monitor.
Question 2 of 5
Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: Late decelerations indicate uteroplacental insufficiency; discontinuing oxytocin reduces uterine stimulation, improving fetal oxygenation.
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 3 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.
Extract:
A nurse is preparing to administer magnesium sulfate IV to a client who is experiencing preterm labor.
Question 4 of 5
Which of the following is the priority nursing assessment for this client?
Correct Answer: C
Rationale: Magnesium sulfate can depress respiratory function; monitoring respiratory rate is critical to detect toxicity.
Extract:
A nurse is caring for a newborn who has macrosomia and whose mother has diabetes mellitus.
Question 5 of 5
The nurse should recognize which of the following newborn complications as the priority focus of care?
Correct Answer: B
Rationale: Hypoglycemia is a priority due to fetal hyperinsulinemia from maternal diabetes, risking neurological complications.