ATI RN
ATI Nur 232 Maternity Final Exam SP24 Questions
Extract:
A nurse in a prenatal clinic is caring for a client who is suspected of having a hydatidiform mole.
Question 1 of 5
Which of the following findings should the nurse expect to observe in this client?
Correct Answer: A
Rationale: Excessive uterine enlargement is expected in hydatidiform mole due to trophoblastic overgrowth.
Extract:
A nurse in a community clinic is counseling a client who has been diagnosed with a sexually transmitted infection.
Question 2 of 5
What advice should the nurse provide?
Correct Answer: C
Rationale: Returning in 6 months for retesting ensures monitoring and confirmation of treatment efficacy for STIs, as some require follow-up testing.
Extract:
A nurse receives report about assigned clients at the start of the shift.
Question 3 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 experienced a vaginal delivery 12 hr ago.
Question 4 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.
Extract:
Nurses Notes at 0700: The client reports feeling generally well but mentions occasional episodes of dizziness and increased thirst. She has been monitoring her blood glucose levels at home and notes that they have been higher than usual. The client is concerned about the impact of her blood glucose levels on her pregnancy. She has been following a diet plan but admits to occasional deviations. The client denies any abdominal pain or contractions. Fetal movements are reported as normal. The client is advised to continue monitoring her blood glucose levels and to report any significant changes. Vital Signs at 0700: Temperature: 37.2°C (98.96°F), Blood Pressure: 130/85 mmHg, Heart Rate: 88 bpm, Respiratory Rate: 18 breaths/min. Diagnostic Results at 0700: Fasting blood glucose: 138 mg/dL (60 to 105 mg/dL), HbA1c: 6.4% (less than 6.5%), Urinalysis: Appearance: Clear, Color: Amber yellow, pH: 8.0 (4.6 to 8.0), Positive urine glucose (expected negative), 3+ ketones (expected negative), Urine specific gravity: 1.020 (1.005 to 1.030).
Question 5 of 5
Which of the following provider prescriptions should the nurse plan to implement? Select the 3 actions the nurse should plan to take.
Correct Answer: A, B, C
Rationale: Conducting a non-stress test twice per week monitors fetal well-being in high-risk pregnancies like gestational diabetes. Monitoring blood glucose daily is essential to manage gestational diabetes and prevent complications. Referring to a dietitian helps tailor a meal plan to control blood glucose. Refraining from physical activity is not recommended as exercise helps manage blood glucose levels.