ATI RN
ATI NUR223 Absection 4 Maternity Final Exam Questions
Extract:
A nurse is planning care for a newborn who is small for gestational age (SGA).
Question 1 of 5
Which of the following is the priority intervention the nurse should include in the newborn's plan of care?
Correct Answer: D
Rationale: SGA newborns are at high risk for hypoglycemia due to low glycogen stores; monitoring blood glucose prevents neurological complications.
Extract:
A nurse places a newborn under a radiant heat warmer after birth.
Question 2 of 5
The purpose of this action is to prevent which of the following in the newborn?
Correct Answer: B
Rationale: A radiant heat warmer prevents cold stress, which can lead to hypothermia and metabolic complications.
Extract:
A nurse is caring for a client who is 2 hr postpartum following a vaginal birth.
Question 3 of 5
Which of the following findings indicates the client's bladder is distended?
Correct Answer: D
Rationale: A distended bladder can displace the uterus, causing the fundus to deviate from the midline, interfering with uterine contraction and potentially leading to uterine atony and excessive bleeding.
Extract:
A nurse in a hospital is caring for a client who is at 38 weeks of gestation and has a large amount of painless, bright red vaginal bleeding. The client is placed on a fetal monitor indicating a regular fetal heart rate of 138/min and no uterine contractions. The client's vital signs are: blood pressure 98/52 mm Hg, heart rate 118/min, respiratory rate 24/min, and temperature 36.4° C (97.6° F).
Question 4 of 5
Which of the following is the priority nursing action?
Correct Answer: D
Rationale: IV access is critical for fluid resuscitation and medication administration in suspected placenta previa with hemorrhage.
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 5 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.