ATI RN
ATI Nur 232 Maternity Final Exam SP24 Questions
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 1 of 5
Which of the following is the priority nursing action?
Correct Answer: B
Rationale: Initiating IV access is the priority to address rapid blood loss and hypotension, allowing for fluid or blood administration.
Extract:
A nurse is caring for a client who is in labor and has an epidural anesthesia block. The client's blood pressure is 80/40 mm Hg and the fetal heart rate is 140/min.
Question 2 of 5
Which of the following is the priority nursing action?
Correct Answer: A
Rationale: Placing the client in a lateral position is the priority to improve uterine and placental blood flow, addressing hypotension from epidural anesthesia.
Extract:
A nurse is formulating a care plan for a newborn who is small for gestational age (SGA).
Question 3 of 5
Which of the following should be the priority intervention in the newborn's care plan?
Correct Answer: D
Rationale: Monitoring blood glucose levels is the priority for SGA newborns due to the risk of hypoglycemia from limited glycogen stores.
Extract:
A nurse in the labor and delivery unit is caring for a client who is undergoing external fetal monitoring. The nurse observes that the fetal heart rate begins to slow after the start of a contraction and the lowest rate occurs after the peak of the contraction.
Question 4 of 5
Which of the following actions should the nurse take first?
Correct Answer: C
Rationale: Placing the client in the lateral position is the first action to improve placental blood flow and address late decelerations.
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 5 of 5
Which of the following is the priority nursing action?
Correct Answer: B
Rationale: Initiating IV access is the priority to address rapid blood loss and hypotension, allowing for fluid or blood administration.