ATI RN
ATI NUR223 Absection 4 Maternity Final Exam Questions
Extract:
A nurse is caring for a client 2 hr after a spontaneous vaginal birth and the client has saturated two perineal pads with blood in a 30-min period.
Question 1 of 5
Which of the following is the priority nursing intervention at this time?
Correct Answer: C
Rationale: Excessive bleeding suggests uterine atony; palpating the fundus assesses uterine tone, guiding interventions to prevent hemorrhage.
Extract:
The nurse when assessing the client's perineum found erythematous lesions on the vulva that looks like herpes.
Question 2 of 5
The nurse anticipates the patient's treatment regimen to include which of the following:
Correct Answer: B
Rationale: Acyclovir is the standard antiviral treatment for genital herpes, reducing symptom severity and transmission risk.
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 3 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 caring for a client who is receiving oxytocin for labor induction. The nurse notes recurrent late decelerations on the fetal heart monitor.
Question 4 of 5
Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: Late decelerations indicate uteroplacental insufficiency; discontinuing oxytocin reduces uterine stimulation, improving fetal oxygenation.
Extract:
A nurse receives report about assigned clients at the start of the shift.
Question 5 of 5
Which of the following clients should the nurse plan to see first?
Correct Answer: D
Rationale: A client 4 hr post-cesarean with pain requires urgent assessment for potential complications like hemorrhage or infection, prioritizing over stable clients.