ATI RN
ATI Nur 232 Maternity Final Exam SP24 Questions
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 1 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 receives report about assigned clients at the start of the shift.
Question 2 of 5
Which of the following clients should the nurse plan to see first?
Correct Answer: D
Rationale: Pain 4 hours post-cesarean birth may indicate complications like infection or hemorrhage, requiring immediate assessment.
Extract:
The nurse is conducting a newborn assessment and identifies a collection of blood beneath the newborn's scalp that does not cross the suture lines.
Question 3 of 5
How should the nurse document this finding?
Correct Answer: C
Rationale: Cephalohematoma is a collection of blood under the scalp that does not cross suture lines, caused by trauma during delivery.
Extract:
At the midpoint of pregnancy, you review the beginning signs of labor with a patient.
Question 4 of 5
Which of the following would you include as a beginning sign of labor?
Correct Answer: B
Rationale: A sudden gush of clear fluid indicates rupture of membranes, a common sign of labor onset.
Extract:
A nurse in a community clinic is counseling a client who has been diagnosed with a sexually transmitted infection.
Question 5 of 5
What advice should the nurse provide?
Correct Answer: C
Rationale: Returning in 6 months for retesting ensures monitoring and confirmation of treatment efficacy for STIs, as some require follow-up testing.