ATI RN
ATI NUR223 Absection 4 Maternity Final Exam Questions
Extract:
A nurse is performing a physical examination of a client who is 1 day postpartum.
Question 1 of 5
Which of the following findings requires immediate intervention?
Correct Answer: A
Rationale: A displaced fundus suggests uterine atony or bladder distension, risking postpartum hemorrhage, requiring immediate intervention.
Extract:
A nurse is caring for an adolescent client who is gravida 1 and para 0, admitted at 38 weeks of gestation with a diagnosis of preeclampsia.
Question 2 of 5
Which of the following findings should the nurse identify as inconsistent with preeclampsia?
Correct Answer: B
Rationale: Deep tendon reflexes of +1 (normal or slightly increased) are inconsistent with preeclampsia, which typically presents with hyperreflexia due to central nervous system irritability.
Extract:
A nurse observes that a newborn has a pink trunk and head, bluish hands and feet, and flexed extremities 5 min after delivery. He has a weak and slow cry, a heart rate of 130/min, and cries in response to suctioning.
Question 3 of 5
The nurse should document what Apgar score for this infant?
Correct Answer: 9
Rationale: Apgar score: Color (1), Heart rate (2), Respiratory effort (1), Muscle tone (1), Reflex irritability (2) = 9.
Extract:
A nurse is assessing a client who is pregnant for preeclampsia.
Question 4 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 in labor and has an external fetal monitor. The nurse observes variable decelerations in the fetal heart rate pattern.
Question 5 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.