ATI RN
ATI NUR223 Absection 4 Maternity Final Exam Questions
Extract:
A nurse is caring for a client who is in active labor and notes late decelerations on the fetal monitor.
Question 1 of 5
Which of the following is the priority nursing action?
Correct Answer: C
Rationale: Positioning on the side, preferably left, improves placental perfusion, addressing late decelerations.
Extract:
At midpoint during pregnancy, you review beginning signs of labor with a client.
Question 2 of 5
One of the beginning signs of labor you would review is:
Correct Answer: B
Rationale: A sudden gush of clear fluid indicates rupture of membranes, a common sign of labor onset, signaling the start of labor or impending delivery.
Extract:
The nurse is performing a newborn assessment and evaluates a collection of blood beneath the newborn's scalp that does not cross the suture lines.
Question 3 of 5
The nurse documents this finding as
Correct Answer: D
Rationale: Cephalohematoma is a collection of blood beneath the periosteum of the infant's skull bones that does not cross suture lines, unlike caput succedaneum, which involves swelling that crosses suture lines.
Extract:
A nurse in a prenatal clinic is teaching a client who is in her second trimester and has a new diagnosis of gestational diabetes.
Question 4 of 5
Which of the following statements by the client indicates a need for further teaching?
Correct Answer: B
Rationale: Carbohydrate intake should be individualized, not fixed at 50%; further teaching is needed for dietary management.
Extract:
A nurse is assessing a client who is 4 hr postpartum following a vaginal delivery.
Question 5 of 5
Which of the following findings should the nurse identify as the priority?
Correct Answer: C
Rationale: A saturated pad in 30 minutes indicates excessive bleeding, potentially from uterine atony, requiring immediate intervention.