ATI RN
ATI Nur 232 Maternity Final Exam SP24 Questions
Extract:
A nurse is teaching a client who is postpartum and has a new prescription for Rh(D) immunoglobulin.
Question 1 of 5
Which of the following should be included in the teaching?
Correct Answer: A
Rationale: Rh(
D) immunoglobulin prevents Rh-negative mothers from forming antibodies against Rh-positive fetal blood, reducing risks in future pregnancies. It does not destroy antibodies or affect newborns directly.
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 2 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:
A nurse is caring for a client who is receiving heparin 3,800 units subcutaneously daily. Available is heparin 5,000 units/mL.
Question 3 of 5
How many ml should the nurse administer? (Round the answer to the nearest tenth.)
Correct Answer: 0.8
Rationale:
To calculate: 3,800 units ÷ 5,000 units/mL = 0.76 mL, rounded to 0.8 mL.
Extract:
A nurse is caring for a client who gave birth 2 hours ago. The nurse notes that the client's blood pressure is 60 mm Hg.
Question 4 of 5
Which of the following actions should the nurse take first?
Correct Answer: B
Rationale: Evaluating the firmness of the uterus is the first action to identify uterine atony, a common cause of postpartum hemorrhage leading to low blood pressure. Other actions follow based on findings.
Extract:
A nurse is caring for a client who is at 37 weeks of gestation and has placenta previa. The client asks why the provider does not do an internal examination.
Question 5 of 5
Which of the following explanations of the primary reason should the nurse provide?
Correct Answer: C
Rationale: An internal examination in placenta previa could disturb the low-lying placenta, causing severe bleeding, which is the primary reason to avoid it.