ATI RN
ATI Nur 232 Maternity Final Exam SP24 Questions
Extract:
A nurse is formulating a care plan for a newborn who is small for gestational age (SGA).
Question 1 of 5
Which of the following should be the priority intervention in the newborn's care plan?
Correct Answer: D
Rationale: Monitoring blood glucose levels is the priority for SGA newborns due to the risk of hypoglycemia from limited glycogen stores.
Extract:
While evaluating an external monitor tracing of a woman in active labor, the nurse observes that the FHR begins to decelerate late in the contraction, with the decelerations occurring after the peak of the contraction.
Question 2 of 5
What is the nurse's first priority?
Correct Answer: C
Rationale: Changing the woman's position is the first priority to improve placental blood flow and address late decelerations, which indicate uteroplacental insufficiency.
Extract:
A nurse in a labor unit is admitting a patient who reports experiencing painful contractions. The nurse determines that the contractions last for 1 minute and occur every 3 minutes. The nurse records the following vital signs: fetal heart rate of 130/min, maternal heart rate of 128/min, and maternal blood pressure of 92/54 mm Hg.
Question 3 of 5
What should the nurse prioritize doing next?
Correct Answer: A
Rationale: Notifying the provider is the priority due to the frequent contractions and low maternal blood pressure, which may indicate rapid labor progression or instability.
Extract:
A nurse is formulating a care plan for a newborn who is small for gestational age (SGA).
Question 4 of 5
Which of the following should be the priority intervention in the newborn's care plan?
Correct Answer: D
Rationale: Monitoring blood glucose levels is the priority for SGA newborns due to the risk of hypoglycemia from limited glycogen stores.
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 5 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.