ATI RN
ATI NUR223 Absection 4 Maternity Final Exam Questions
Extract:
A nurse is assessing a client who is 4 hr postpartum following a vaginal delivery.
Question 1 of 5
Which of the following findings should the nurse identify as the priority?
Correct Answer: C
Rationale: A saturated pad in 30 minutes indicates excessive bleeding, potentially from uterine atony, requiring immediate intervention.
Extract:
A nurse is caring for a client who experienced a vaginal delivery 12 hr ago.
Question 2 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: C
Rationale: 12 hours postpartum, the fundus descends approximately one fingerbreadth below the umbilicus, nearing the symphysis pubis.
Extract:
A nurse is caring for a client who experienced a vaginal birth 3 hr ago. Upon palpation, the fundus is displaced to the right of midline, is firm, and is two fingerbreadths above the umbilicus.
Question 3 of 5
Which of the following actions should the nurse complete at this time?
Correct Answer: D
Rationale: A displaced fundus suggests a full bladder, which can inhibit uterine contraction; having the client urinate relieves bladder pressure and aids uterine positioning.
Extract:
The nurse is performing a newborn assessment and evaluates a collection of blood beneath the newborn's scalp that does not cross the suture lines.
Question 4 of 5
The nurse documents this finding as
Correct Answer: D
Rationale: Cephalohematoma is a collection of blood beneath the periosteum of the infant's skull bones that does not cross suture lines, unlike caput succedaneum, which involves swelling that crosses suture lines.
Extract:
A nurse is caring for a client who is pregnant. Vital Signs: 1100: Temperature: 37.2°C (98.9°F), Pulse rate: 80/min, Respiratory rate: 16/min, Blood Pressure: 136/79 mm Hg; 1200: Pulse rate: 90/min, Respiratory rate: 20/min, Blood Pressure: 134/82 mm Hg. Medical History: Gravida 4 Para 3, 32 weeks of gestation, BMI: 32, History of two newborns weighing over 4.5 kg (10 lb), Family history of type one diabetes mellitus (maternal), Fetal heart tones: 140/min via Doppler. Diagnostic Results: 1115: Fasting blood glucose: 138 mg/dL (60 to 105 mg/dL); 1200: Fasting blood glucose: 142 mg/dL (60 to 105 mg/dL), HbA1c: 12% (less than 6.5%); 1220: Urinalysis: Appearance: clear, Color: amber yellow.
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,C,D
Rationale: A: Limits glucose spikes. C: Metformin manages gestational diabetes. D: Monitors fetal well-being.