ATI RN
ATI Nur 232 Maternity Final Exam SP24 Questions
Extract:
A nurse is caring for an adolescent client who is gravida 1 and para 0. The client was admitted to the hospital at 38 weeks of gestation with a diagnosis of preeclampsia.
Question 1 of 5
Which of the following findings should the nurse identify as inconsistent with preeclampsia?
Correct Answer: A
Rationale: Deep tendon reflexes of +1 are normal and inconsistent with preeclampsia, which typically involves hyperreflexia (+3 or +4).
Extract:
A nurse is providing discharge teaching to a client who is 3 days postoperative following a cesarean birth.
Question 2 of 5
Which of the following client statements should indicate to the nurse the teaching is effective? (Select all that apply)
Correct Answer: A, D
Rationale: Reporting incision discharge and recognizing unrelieved abdominal pain as abnormal indicate effective teaching. Expecting a fever and prolonged recliner rest are incorrect.
Extract:
A nurse in a prenatal clinic is caring for a client. Using Leopold maneuvers, the nurse palpates a round, firm, movable part in the fundus of the uterus and a long, smooth surface on the client's right side.
Question 3 of 5
In which abdominal quadrant should the nurse expect to auscultate fetal heart tones?
Correct Answer: D
Rationale: The findings suggest a breech position with the fetal back on the left, placing the fetal chest (and heart tones) in the right lower quadrant.
Extract:
A nurse is caring for a client who is gravida 3, para 2, and is in active labor. The fetal head is at 3+ station after a vaginal examination.
Question 4 of 5
Which of the following actions should the nurse take?
Correct Answer: A
Rationale: At 3+ station, the fetal head is near the vaginal opening, so observing for crowning is appropriate as delivery is imminent.
Extract:
A nurse in a prenatal clinic is caring for a client who is at 39 weeks of gestation and who asks about the signs that precede the onset of labor.
Question 5 of 5
Which of the following should the nurse identify as a sign that precedes labor?
Correct Answer: D
Rationale: A surge of energy, or 'nesting,' is a common sign preceding labor. Increased vaginal discharge, sudden weight gain, and urinary retention are not typical pre-labor signs.