ATI RN
ATI Nur 232 Maternity Final Exam SP24 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: A
Rationale: Positioning the client on her side is the priority to improve placental blood flow and address late decelerations indicating fetal hypoxia.
Extract:
A nurse is caring for a new mother who is worried about her newborn's crossed eyes.
Question 2 of 5
Which of the following responses by the nurse would be therapeutic?
Correct Answer: C
Rationale: Explaining that crossed eyes are due to newborns' lack of muscle control is therapeutic, addressing the mother's concern with accurate information.
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 3 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 admits a woman who is at 38 weeks of gestation and in early labor with ruptured membranes. The nurse determines that the client's oral temperature is 38.9°C (102°F).
Question 4 of 5
Besides notifying the provider, which of the following is an appropriate nursing action?
Correct Answer: D
Rationale: Administering acetaminophen orally is appropriate to reduce fever, which may indicate infection, while further evaluation is conducted.
Extract:
A nurse is assisting a client with breastfeeding.
Question 5 of 5
The nurse explains that which of the following reflexes will promote the newborn to latch?
Correct Answer: C
Rationale: The rooting reflex helps newborns turn toward a stimulus and open their mouth to latch during breastfeeding.