ATI RN
ATI Nur 232 Maternity Final Exam SP24 Questions
Extract:
A nurse is preparing to assess a newborn who is postmature.
Question 1 of 5
Which of the following findings should the nurse expect? (Select all that apply.)
Correct Answer: B, E
Rationale: A positive Moro reflex is normal in postmature newborns, and cracked, peeling skin is common due to prolonged gestation. Abundant lanugo, vernix, and short nails are more typical in preterm infants.
Extract:
A client at 37 weeks gestation is admitted with complaints of fever, pain and swelling in her groin, and contractions every 15 minutes. The nurse, when assessing the client's perineum, found erythematous lesions on the vulva that look like herpes.
Question 2 of 5
The nurse anticipates the patient's treatment regimen to include which of the following?
Correct Answer: C
Rationale: Acyclovir is the antiviral treatment for herpes, addressing the viral infection indicated by the lesions.
Extract:
A nurse in the labor and delivery unit is caring for a client who is undergoing external fetal monitoring. The nurse observes that the fetal heart rate begins to slow after the start of a contraction and the lowest rate occurs after the peak of the contraction.
Question 3 of 5
Which of the following actions should the nurse take first?
Correct Answer: C
Rationale: Placing the client in the lateral position is the first action to improve placental blood flow and address late decelerations.
Extract:
A nurse receives report about assigned clients at the start of the shift.
Question 4 of 5
Which of the following clients should the nurse plan to see first?
Correct Answer: D
Rationale: Pain 4 hours post-cesarean birth may indicate complications like infection or hemorrhage, requiring immediate assessment.
Extract:
A nurse is caring for a client who had a vaginal delivery 2 hours ago.
Question 5 of 5
Which of the following actions should the nurse anticipate in the care of this client? (Select all that apply.)
Correct Answer: A, C, E
Rationale: Observing lochia assesses bleeding, determining fundus position ensures proper uterine contraction, and administering methylergonovine maleate may be needed for a boggy uterus. Massaging a firm fundus and documenting fundal height are not typically required.