Questions 74

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ATI Nur 232 Maternity Final Exam SP24 Questions

Extract:

A nurse in the newborn unit is caring for several infants.


Question 1 of 5

Which of the following situations requires the nurse's immediate attention and intervention?

Correct Answer: D

Rationale: Not passing meconium within 24 hours may indicate a bowel obstruction like meconium ileus, requiring immediate attention. Not voiding within 24 hours, acrocyanosis, and a temperature of 37.5°C are typically normal or less urgent findings.

Extract:

A nurse is caring for a client who is in labor and assists the provider who performs an amniotomy.


Question 2 of 5

Which of the following is the priority action by the nurse following the procedure?

Correct Answer: A

Rationale: Assessing the fetal heart rate is the priority post-amniotomy to detect any distress from cord compression or other complications.

Extract:

A nurse is caring for a client who experienced a vaginal birth 12 hours ago. The nurse recognizes the client is in the dependent, taking in phase of maternal postpartum adjustment.


Question 3 of 5

Which of the following findings should the nurse expect during this phase?

Correct Answer: B

Rationale: Expressions of excitement are typical in the taking-in phase, where the mother focuses on her birth experience and is often talkative and excited.

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 4 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 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 5 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.

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