ATI RN
ATI NUR223 Absection 4 Maternity Final Exam Questions
Extract:
A nurse is caring for a client who is in labor and assists the provider who performs an amniotomy.
Question 1 of 5
Which of the following is the priority action by the nurse following the procedure?
Correct Answer: D
Rationale: Assessing fetal heart rate post-amniotomy detects potential cord prolapse or distress, ensuring fetal well-being.
Extract:
A nurse on a labor unit is admitting a client who reports painful contractions. The nurse determines that the contractions have a duration of 1 min and a frequency of 3 min. The nurse obtains the following vital signs: fetal heart rate 130/min, maternal heart rate 128/min, and maternal blood pressure 92/54 mm Hg.
Question 2 of 5
Which of the following is the priority action for the nurse to take?
Correct Answer: C
Rationale: Low blood pressure (92/54 mm Hg) suggests hypotension; elevating one hip improves venous return, enhancing maternal and fetal perfusion.
Extract:
A nurse is providing preconception counseling for a client who is planning a pregnancy.
Question 3 of 5
Which of the following supplements should the nurse recommend to help prevent neural tube defects in the fetus?
Correct Answer: B
Rationale: Folic acid (400 mcg daily) significantly reduces the risk of neural tube defects like spina bifida.
Extract:
A nurse is caring for a client who is in active labor and notes late decelerations in the FHR.
Question 4 of 5
Which of the following actions should the nurse take first?
Correct Answer: B
Rationale: Changing the client's position, preferably to the left lateral, improves uteroplacental perfusion, addressing late decelerations caused by reduced fetal oxygenation.
Extract:
A nurse is performing a physical examination of a client who is 1 day postpartum.
Question 5 of 5
Which of the following findings requires immediate intervention?
Correct Answer: A
Rationale: A displaced fundus suggests uterine atony or bladder distension, risking postpartum hemorrhage, requiring immediate intervention.