Questions 74

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ATI Nur 232 Maternity Final Exam SP24 Questions

Extract:

A nurse is caring for a client who is 2 hours postpartum following a vaginal birth.


Question 1 of 5

Which of the following findings indicates the client's bladder is distended?

Correct Answer: A

Rationale: A fundus displaced to the right suggests a distended bladder pushing the uterus off-center.

Extract:

A nurse is caring for a client who is at 38 weeks of gestation and is in the first stage of labor.


Question 2 of 5

Which of the following assessment findings should the nurse report to the provider first?

Correct Answer: C

Rationale: A continuous contraction lasting 2 minutes is abnormal and may indicate uterine hyperstimulation or tetanic contractions, requiring immediate reporting to prevent fetal distress.

Extract:

A nurse in a provider's office is caring for a client who is at 34 weeks of gestation and at risk for placental abruption.


Question 3 of 5

Which of the following is the most common risk factor for abruption?

Correct Answer: D

Rationale: Hypertension is the most common risk factor for placental abruption, damaging placental blood vessels.

Extract:

A nurse in a prenatal clinic is caring for a client whose blood pressure is 80/40 mm Hg. The client's last menstrual period was on May 4, 2023.


Question 4 of 5

What would be the estimated due date for the client?

Correct Answer: D

Rationale: Using Nägele's Rule: May 4, 2023 + 7 days = May 11, 2023; subtract 3 months = February 11, 2023; add 1 year = February 11, 2024.

Extract:

A nurse is planning care for a patient who is 2 hours postpartum following a cesarean birth. The patient has a history of thromboembolic disease.


Question 5 of 5

Which nursing interventions should be included in the plan of care?

Correct Answer: D

Rationale: Ambulation promotes circulation, reducing the risk of thromboembolism in a patient with a history of the condition.

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