ATI RN
ATI Nur 232 Maternity Final Exam SP24 Questions
Extract:
Nurses Notes at 0700: The client reports feeling generally well but mentions occasional episodes of dizziness and increased thirst. She has been monitoring her blood glucose levels at home and notes that they have been higher than usual. The client is concerned about the impact of her blood glucose levels on her pregnancy. She has been following a diet plan but admits to occasional deviations. The client denies any abdominal pain or contractions. Fetal movements are reported as normal. The client is advised to continue monitoring her blood glucose levels and to report any significant changes. Vital Signs at 0700: Temperature: 37.2°C (98.96°F), Blood Pressure: 130/85 mmHg, Heart Rate: 88 bpm, Respiratory Rate: 18 breaths/min. Diagnostic Results at 0700: Fasting blood glucose: 138 mg/dL (60 to 105 mg/dL), HbA1c: 6.4% (less than 6.5%), Urinalysis: Appearance: Clear, Color: Amber yellow, pH: 8.0 (4.6 to 8.0), Positive urine glucose (expected negative), 3+ ketones (expected negative), Urine specific gravity: 1.020 (1.005 to 1.030).
Question 1 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, B, C
Rationale: Conducting a non-stress test twice per week monitors fetal well-being in high-risk pregnancies like gestational diabetes. Monitoring blood glucose daily is essential to manage gestational diabetes and prevent complications. Referring to a dietitian helps tailor a meal plan to control blood glucose. Refraining from physical activity is not recommended as exercise helps manage blood glucose levels.
Extract:
A nurse is assessing a client who is pregnant for preeclampsia.
Question 2 of 5
Which of the following findings should indicate to the nurse that the client requires further evaluation for this disorder?
Correct Answer: A
Rationale: Elevated blood pressure is a key indicator of preeclampsia, warranting further evaluation.
Extract:
A nurse is caring for a client who is postpartum and is breastfeeding. The client states that she is concerned about dietary precautions since she has a family history of food allergies.
Question 3 of 5
The nurse offers which of the following responses?
Correct Answer: D
Rationale: Avoiding peanuts may be cautious with a family history of allergies, though evidence suggests early exposure might reduce allergy risk.
Extract:
A nurse is caring for a new mother who is worried about her newborn's crossed eyes.
Question 4 of 5
Which of the following responses by the nurse would be therapeutic?
Correct Answer: C
Rationale: Explaining that crossed eyes are due to newborns' lack of muscle control is therapeutic, addressing the mother's concern with accurate information.
Extract:
A nurse is educating the mother of a newborn who was born small for gestational age.
Question 5 of 5
Which of the following should the nurse mention as a potential cause of this condition?
Correct Answer: D
Rationale: Placental inefficiency can limit nutrient and oxygen delivery, leading to a newborn being small for gestational age.