ATI RN
ATI NUR223 Absection 4 Maternity Final Exam Questions
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 1 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 is assessing a client who is 6 hr postpartum following a vaginal delivery. The client reports perineal pain rated as 4 on a scale of 0 to 10.
Question 2 of 5
Which of the following actions should the nurse take?
Correct Answer: C
Rationale: An ice pack reduces perineal pain and swelling in the early postpartum period, providing immediate relief.
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 3 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 who is at 12 weeks of gestation. The client asks why she needs an ultrasound examination.
Question 4 of 5
Which of the following responses should the nurse provide?
Correct Answer: D
Rationale: An early ultrasound at 12 weeks primarily confirms a viable pregnancy by detecting fetal heartbeat and assessing gestational age.
Extract:
A nurse is caring for a client who is receiving oxytocin for induction of labor and notes late decelerations in the fetal heart rate.
Question 5 of 5
Which of the following actions should the nurse take? (Select all that apply.)
Correct Answer: A,C,D,E
Rationale: A: Stops uterine stimulation. C: Improves fetal oxygenation. D: Enhances placental perfusion. E: Ensures timely medical intervention.