ATI RN
ATI NUR223 Absection 4 Maternity Final Exam Questions
Extract:
A nurse is caring for a new mother who is concerned that her newborn's eyes cross.
Question 1 of 5
Which of the following statements is a therapeutic response by the nurse?
Correct Answer: D
Rationale: Newborns often appear cross-eyed due to immature eye muscle control, typically resolving by 4 months.
Extract:
A nurse on the labor and delivery unit is caring for a patient who is having induction of labor with oxytocin administered through a secondary IV line. Uterine contractions occur every 2 min, last 90 sec, and are strong to palpation. The baseline fetal heart rate is 150/min, with uniform decelerations beginning at the peak of the contraction and a return to baseline after the contraction is over.
Question 2 of 5
Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Late decelerations indicate uteroplacental insufficiency; discontinuing oxytocin reduces uterine hyperstimulation, improving fetal oxygenation.
Extract:
A nurse in a prenatal clinic is caring for a client who is suspected of having a hydatidiform mole.
Question 3 of 5
Which of the following findings should the nurse expect to observe in this client?
Correct Answer: B
Rationale: Excessive uterine enlargement is characteristic of a hydatidiform mole due to rapid abnormal placental growth.
Extract:
A nurse is caring for a client who is in the first stage of labor and is using pattern-paced breathing. The client says she feels lightheaded and her fingers are tingling.
Question 4 of 5
Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Lightheadedness and tingling indicate hyperventilation; breathing into a paper bag restores CO2 levels, correcting respiratory alkalosis.
Extract:
A nurse is caring for a client who is 4 hr postpartum following a vaginal birth. The client has saturated a perineal pad within 10 min.
Question 5 of 5
Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: Rapid pad saturation suggests uterine atony; fundal massage promotes contraction to control bleeding.