ATI RN
ATI NUR223 Absection 4 Maternity Final Exam Questions
Extract:
A nurse is planning care for a client who is 2 hours postpartum following a cesarean birth. The client has a history of thromboembolic disease.
Question 1 of 5
Which of the following nursing interventions should be included in the plan of care?
Correct Answer: A
Rationale: Early ambulation prevents venous stasis, reducing thromboembolism risk in high-risk clients.
Extract:
A nurse is caring for a client who is in labor and assists the provider who performs an amniotomy.
Question 2 of 5
Which of the following is the priority action by the nurse following the procedure?
Correct Answer: D
Rationale: Assessing fetal heart rate post-amniotomy detects potential cord prolapse or distress, ensuring fetal well-being.
Extract:
A nurse is completing discharge teaching to a client in her 35th week of pregnancy who has mild preeclampsia.
Question 3 of 5
Which of the following information about nutrition should be included in the teaching?
Correct Answer: A
Rationale: Avoiding salt reduces fluid retention, helping manage hypertension in mild preeclampsia.
Extract:
A nurse is caring for a newborn and assessing newborn reflexes.
Question 4 of 5
To elicit the Moro reflex, the nurse should take which of the following actions?
Correct Answer: B
Rationale: A sharp hand clap triggers the Moro reflex, causing the newborn to extend arms and legs outward, then pull them back.
Extract:
A nurse is teaching a client who is at 8 weeks of gestation about nutrition during pregnancy.
Question 5 of 5
Which of the following pieces of information should the nurse include?
Correct Answer: B
Rationale: 400 mcg of folic acid daily prevents neural tube defects, a critical nutritional recommendation during early pregnancy.