ATI RN
ATI NUR223 Absection 4 Maternity Final Exam Questions
Extract:
A nurse is assessing a client who is 12 hr postpartum following a vaginal delivery. The nurse notes that the fundus is firm, two fingerbreadths above the umbilicus, and deviated to the right.
Question 1 of 5
Which of the following actions should the nurse take?
Correct Answer: C
Rationale: A deviated fundus suggests bladder distension; assisting the client to void corrects uterine displacement.
Extract:
A nurse in a prenatal clinic is caring for a client who is suspected of having a hydatidiform mole.
Question 2 of 5
Which of the following findings should the nurse expect to observe in this client?
Correct Answer: B
Rationale: Excessive uterine enlargement is characteristic of a hydatidiform mole due to rapid abnormal placental growth.
Extract:
A nurse is caring for a client who is at 41 weeks of gestation and is receiving oxytocin for labor induction. The nurse notes early decelerations on the fetal heart monitor.
Question 3 of 5
Which of the following is an appropriate action by the nurse?
Correct Answer: D
Rationale: Early decelerations are benign, caused by fetal head compression; continued monitoring is appropriate as they do not indicate distress.
Extract:
A nurse in a hospital is caring for a client who is at 38 weeks of gestation and has a large amount of painless, bright red vaginal bleeding. The client is placed on a fetal monitor indicating a regular fetal heart rate of 138/min and no uterine contractions. The client's vital signs are: blood pressure 98/52 mm Hg, heart rate 118/min, respiratory rate 24/min, and temperature 36.4° C (97.6° F).
Question 4 of 5
Which of the following is the priority nursing action?
Correct Answer: D
Rationale: IV access is critical for fluid resuscitation and medication administration in suspected placenta previa with hemorrhage.
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 5 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.