ATI RN
ATI NUR223 Absection 4 Maternity Final Exam Questions
Extract:
A nurse is caring for a client who is a primigravida, at term, and having contractions but is stating that she is 'not really sure if she is in labor or not.'
Question 1 of 5
Which of the following should the nurse recognize as a sign of true labor?
Correct Answer: D
Rationale: Cervical dilation and effacement are definitive signs of true labor, distinguishing it from false labor.
Extract:
A nurse is caring for a client who is pregnant. Vital Signs: 1100: Temperature: 37.2°C (98.9°F), Pulse rate: 80/min, Respiratory rate: 16/min, Blood Pressure: 136/79 mm Hg; 1200: Pulse rate: 90/min, Respiratory rate: 20/min, Blood Pressure: 134/82 mm Hg. Medical History: Gravida 4 Para 3, 32 weeks of gestation, BMI: 32, History of two newborns weighing over 4.5 kg (10 lb), Family history of type one diabetes mellitus (maternal), Fetal heart tones: 140/min via Doppler. Diagnostic Results: 1115: Fasting blood glucose: 138 mg/dL (60 to 105 mg/dL); 1200: Fasting blood glucose: 142 mg/dL (60 to 105 mg/dL), HbA1c: 12% (less than 6.5%); 1220: Urinalysis: Appearance: clear, Color: amber yellow.
Question 2 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,C,D
Rationale: A: Limits glucose spikes. C: Metformin manages gestational diabetes. D: Monitors fetal well-being.
Extract:
A nurse is assessing a newborn immediately following a scheduled cesarean delivery.
Question 3 of 5
Which of the following assessments is the nurse's priority?
Correct Answer: D
Rationale: Respiratory distress is the priority due to the risk of incomplete lung fluid clearance in cesarean deliveries, which can lead to breathing difficulties requiring immediate intervention.
Extract:
A nurse is caring for a client who is a primigravida, at term, and having contractions but is stating that she is 'not really sure if she is in labor or not.'
Question 4 of 5
Which of the following should the nurse recognize as a sign of true labor?
Correct Answer: D
Rationale: Cervical dilation and effacement are definitive signs of true labor, distinguishing it from false labor.
Extract:
A nurse is preparing to administer vitamin K by IM injection to a newborn.
Question 5 of 5
The nurse should administer the medication into which of the following muscles?
Correct Answer: C
Rationale: The vastus lateralis is a safe, accessible site with adequate muscle mass for IM injections in newborns.