ATI RN
ATI Nur 232 Maternity Final Exam SP24 Questions
Extract:
A nurse is providing preconception counseling for a client who is planning a pregnancy.
Question 1 of 5
Which of the following supplements should the nurse recommend to help prevent defects in the fetus?
Correct Answer: D
Rationale: Folic acid is recommended to prevent neural tube defects in the fetus.
Extract:
A nurse is assessing a client who is pregnant for preeclampsia.
Question 2 of 5
Which of the following findings should indicate to the nurse that the client requires further evaluation for this disorder?
Correct Answer: A
Rationale: Elevated blood pressure is a key indicator of preeclampsia, warranting further evaluation.
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: A
Rationale: Excessive uterine enlargement is expected in hydatidiform mole due to trophoblastic overgrowth.
Extract:
Nurses Notes at 0700: The client reports feeling generally well but mentions occasional episodes of dizziness and increased thirst. She has been monitoring her blood glucose levels at home and notes that they have been higher than usual. The client is concerned about the impact of her blood glucose levels on her pregnancy. She has been following a diet plan but admits to occasional deviations. The client denies any abdominal pain or contractions. Fetal movements are reported as normal. The client is advised to continue monitoring her blood glucose levels and to report any significant changes. Vital Signs at 0700: Temperature: 37.2°C (98.96°F), Blood Pressure: 130/85 mmHg, Heart Rate: 88 bpm, Respiratory Rate: 18 breaths/min. Diagnostic Results at 0700: Fasting blood glucose: 138 mg/dL (60 to 105 mg/dL), HbA1c: 6.4% (less than 6.5%), Urinalysis: Appearance: Clear, Color: Amber yellow, pH: 8.0 (4.6 to 8.0), Positive urine glucose (expected negative), 3+ ketones (expected negative), Urine specific gravity: 1.020 (1.005 to 1.030).
Question 4 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, B, C
Rationale: Conducting a non-stress test twice per week monitors fetal well-being in high-risk pregnancies like gestational diabetes. Monitoring blood glucose daily is essential to manage gestational diabetes and prevent complications. Referring to a dietitian helps tailor a meal plan to control blood glucose. Refraining from physical activity is not recommended as exercise helps manage blood glucose levels.
Extract:
A nurse in the labor and delivery unit is caring for a client who is undergoing external fetal monitoring. The nurse observes that the fetal heart rate begins to slow after the start of a contraction and the lowest rate occurs after the peak of the contraction.
Question 5 of 5
Which of the following actions should the nurse take first?
Correct Answer: C
Rationale: Placing the client in the lateral position is the first action to improve placental blood flow and address late decelerations.