Questions 74

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ATI Nur 232 Maternity Final Exam SP24 Questions

Extract:

A nurse in a prenatal clinic is caring for a client who is at 39 weeks of gestation and who asks about the signs that precede the onset of labor.


Question 1 of 5

Which of the following should the nurse identify as a sign that precedes labor?

Correct Answer: D

Rationale: A surge of energy, or 'nesting,' is a common sign preceding labor. Increased vaginal discharge, sudden weight gain, and urinary retention are not typical pre-labor signs.

Extract:

A nurse in a provider's office is caring for a client who is at 34 weeks of gestation and at risk for placental abruption.


Question 2 of 5

Which of the following is the most common risk factor for abruption?

Correct Answer: D

Rationale: Hypertension is the most common risk factor for placental abruption, damaging placental blood vessels.

Extract:

A nurse is providing discharge teaching to a client who is 3 days postoperative following a cesarean birth.


Question 3 of 5

Which of the following client statements should indicate to the nurse the teaching is effective? (Select all that apply)

Correct Answer: A, D

Rationale: Reporting incision discharge and recognizing unrelieved abdominal pain as abnormal indicate effective teaching. Expecting a fever and prolonged recliner rest are incorrect.

Extract:

A nurse is caring for a client who is at 36 weeks of gestation and suspected of having placenta previa.


Question 4 of 5

Which of the following observations would support this diagnosis?

Correct Answer: D

Rationale: Painless red vaginal bleeding is a hallmark sign of placenta previa, caused by the placenta separating as the cervix effaces.

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 5 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.

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