ATI RN
ATI Nur 232 Maternity Final Exam SP24 Questions
Extract:
A nurse is completing discharge teaching to a client in her 35th week of pregnancy who has mild preeclampsia.
Question 1 of 5
Which of the following information about nutrition should be included in the teaching?
Correct Answer: A
Rationale: Adequate hydration (48-64 ounces of water daily) supports overall health and helps manage mild preeclampsia. Protein intake should be higher (~71g/day), whole grains and vegetables are beneficial, and avoiding salt is secondary to reducing overall sodium intake.
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 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 caring for a client who is 2 days postpartum. The client is a Gravida 4 Para 3 who had a forceps-assisted birth with epidural anesthesia at 40 weeks of gestation. She had a second degree mediolateral perineal laceration with repair, and the placenta was manually extracted. The estimated blood loss was 600 mL.
Question 3 of 5
Complete the diagram by dragging from the choices below to specify what condition the client is experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client's progress.
Correct Answer: A, C
Rationale: The client is likely experiencing perineal discomfort from the laceration. Applying ice packs and monitoring for strained perineum are appropriate actions. Monitoring pain levels and perineal healing are key parameters.
Extract:
A nurse is preparing to administer vitamin K.
Question 4 of 5
Which of the following muscles should the nurse consider for the injection?
Correct Answer: B
Rationale: The vastus lateralis is the preferred site for vitamin K injection in infants due to its size and safety.
Extract:
A nurse in a clinic is caring for a client who is 3 weeks postpartum following the birth of a healthy newborn. The client reports feeling 'down', sad, having no energy, and wanting to cry.
Question 5 of 5
Which of the following is a priority action by the nurse?
Correct Answer: C
Rationale: Asking if the client has considered harming her newborn is the priority to assess for postpartum depression and ensure the safety of the newborn and mother.