ATI RN
ATI NUR223 Absection 4 Maternity Final Exam 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: D
Rationale: IV access is critical for fluid resuscitation and medication administration in suspected placenta previa with hemorrhage.
Extract:
A nurse is caring for a client who is 4 hr postpartum following a vaginal birth. The client has saturated a perineal pad within 10 min.
Question 2 of 5
Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: Rapid pad saturation suggests uterine atony; fundal massage promotes contraction to control bleeding.
Extract:
A nurse is assessing a newborn immediately following a scheduled cesarean delivery.
Question 3 of 5
Which of the following assessments is the nurse's priority?
Correct Answer: D
Rationale: Respiratory distress is the priority due to the risk of incomplete lung fluid clearance in cesarean deliveries, which can lead to breathing difficulties requiring immediate intervention.
Extract:
A nurse is caring for a term macrosomic newborn whose mother has poorly controlled type 2 diabetes. The newborn has respiratory distress syndrome.
Question 4 of 5
The nurse should be aware that the most likely cause of the respiratory distress is which of the following?
Correct Answer: D
Rationale: Hyperinsulinemia delays lung maturation, reducing surfactant and causing respiratory distress syndrome.
Extract:
A nurse is caring for a client who is pregnant. Vital Signs: 1100: Temperature: 37.2°C (98.9°F), Pulse rate: 80/min, Respiratory rate: 16/min, Blood Pressure: 136/79 mm Hg; 1200: Pulse rate: 90/min, Respiratory rate: 20/min, Blood Pressure: 134/82 mm Hg. Medical History: Gravida 4 Para 3, 32 weeks of gestation, BMI: 32, History of two newborns weighing over 4.5 kg (10 lb), Family history of type one diabetes mellitus (maternal), Fetal heart tones: 140/min via Doppler. Diagnostic Results: 1115: Fasting blood glucose: 138 mg/dL (60 to 105 mg/dL); 1200: Fasting blood glucose: 142 mg/dL (60 to 105 mg/dL), HbA1c: 12% (less than 6.5%); 1220: Urinalysis: Appearance: clear, Color: amber yellow.
Question 5 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,C,D
Rationale: A: Limits glucose spikes. C: Metformin manages gestational diabetes. D: Monitors fetal well-being.