Questions 88

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ATI NUR223 Absection 4 Maternity Final Exam Questions

Extract:

A nurse is assessing a client who is pregnant for preeclampsia.


Question 1 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 receives report about assigned clients at the start of the shift.


Question 2 of 5

Which of the following clients should the nurse plan to see first?

Correct Answer: D

Rationale: A client 4 hr post-cesarean with pain requires urgent assessment for potential complications like hemorrhage or infection, prioritizing over stable clients.

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 3 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 caring for a client who is in active labor with 7 cm of cervical dilation and 100% effacement. The fetus is at 1+ station, and the client's amniotic membranes are intact. The client suddenly states that she needs to push.


Question 4 of 5

Which of the following actions should the nurse take?

Correct Answer: A

Rationale: The urge to push at 7 cm dilation suggests rapid labor progression; observing for crowning confirms if delivery is imminent.

Extract:

A nurse is assessing a client who is pregnant for preeclampsia.


Question 5 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.

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