ATI RN
ATI NUR223 Absection 4 Maternity Final Exam Questions
Extract:
A nurse is caring for a client who is receiving opioid epidural analgesia during labor.
Question 1 of 5
Which of the following findings is the nurse's priority?
Correct Answer: A
Rationale: Hypotension (80/56 mm Hg) is a critical side effect of epidural analgesia, risking reduced placental perfusion and fetal distress, requiring immediate intervention.
Extract:
A nurse is assessing a client who is pregnant for preeclampsia.
Question 2 of 5
Which of the following findings should indicate to the nurse that the client requires further evaluation for this disorder?
Correct Answer: D
Rationale: Elevated blood pressure (>140/90 mm Hg) is a hallmark of preeclampsia, necessitating further evaluation.
Extract:
A nurse is caring for a client who is at 37 weeks of gestation and has placenta previa. The client asks why the provider does not do an internal examination.
Question 3 of 5
Which of the following explanations of the primary reason should the nurse provide?
Correct Answer: A
Rationale: Internal examination in placenta previa risks disrupting the placenta, causing severe hemorrhage due to its low-lying position over the cervix.
Extract:
A nurse is caring for a client who is in labor and has an epidural for pain relief. The client's blood pressure is 88/50 mm Hg and the fetal heart rate is 140/min with minimal variability and late decelerations.
Question 4 of 5
Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Hypotension and late decelerations suggest maternal and fetal compromise; notifying the provider ensures timely intervention.
Extract:
A nurse is caring for a client 2 hr after a spontaneous vaginal birth and the client has saturated two perineal pads with blood in a 30-min period.
Question 5 of 5
Which of the following is the priority nursing intervention at this time?
Correct Answer: C
Rationale: Excessive bleeding suggests uterine atony; palpating the fundus assesses uterine tone, guiding interventions to prevent hemorrhage.