ATI RN
ATI Nur 232 Maternity Final Exam SP24 Questions
Extract:
A nurse is preparing to administer magnesium sulfate IV to a client who is in labor.
Question 1 of 5
Which of the following is the primary nursing assessment for this client?
Correct Answer: C
Rationale: Monitoring respiratory rate is primary due to the risk of respiratory depression from magnesium sulfate, a critical side effect.
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 2 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.
Extract:
A nurse is caring for a client who experienced a vaginal delivery 12 hr ago.
Question 3 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:
A nurse is providing discharge teaching to a client who is 3 days postoperative following a cesarean birth.
Question 4 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 labor unit is admitting a patient who reports experiencing painful contractions. The nurse determines that the contractions last for 1 minute and occur every 3 minutes. The nurse records the following vital signs: fetal heart rate of 130/min, maternal heart rate of 128/min, and maternal blood pressure of 92/54 mm Hg.
Question 5 of 5
What should the nurse prioritize doing next?
Correct Answer: A
Rationale: Notifying the provider is the priority due to the frequent contractions and low maternal blood pressure, which may indicate rapid labor progression or instability.