Questions 74

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ATI Nur 232 Maternity Final Exam SP24 Questions

Extract:

A nurse is caring for a client who experienced a vaginal birth 12 hours ago. The nurse recognizes the client is in the dependent, taking in phase of maternal postpartum adjustment.


Question 1 of 5

Which of the following findings should the nurse expect during this phase?

Correct Answer: B

Rationale: Expressions of excitement are typical in the taking-in phase, where the mother focuses on her birth experience and is often talkative and excited.

Question 2 of 5

Which of the following findings should the nurse expect during this phase?

Correct Answer: B

Rationale: Expressions of excitement are typical in the taking-in phase, where the mother focuses on her birth experience and is often talkative and excited.

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 3 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.

Extract:

While evaluating an external monitor tracing of a woman in active labor, the nurse observes that the FHR begins to decelerate late in the contraction, with the decelerations occurring after the peak of the contraction.


Question 4 of 5

What is the nurse's first priority?

Correct Answer: C

Rationale: Changing the woman's position is the first priority to improve placental blood flow and address late decelerations, which indicate uteroplacental insufficiency.

Extract:

A nurse is caring for a client who experienced a vaginal delivery 12 hr ago.


Question 5 of 5

When palpating the client's abdomen, at which of the following positions should the nurse expect to find the uterine fundus?

Correct Answer: A

Rationale: The uterine fundus is expected to be at the level of the umbilicus 12 hours post-delivery, indicating normal uterine involution.

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