ATI RN
ATI Nur 232 Maternity Final Exam SP24 Questions
Extract:
A nurse is attending to a client who is a first-time mother, at term, and experiencing contractions. She is uncertain if she is in labor.
Question 1 of 5
Which of the following would the nurse identify as an indication of true labor?
Correct Answer: A
Rationale: Regular, strong contractions with cervical change are definitive signs of true labor.
Extract:
A nurse is caring for a client who is 4 hours postpartum following a vaginal birth. The client has saturated a perineal pad within 10 minutes.
Question 2 of 5
What should be the nurse's first action?
Correct Answer: A
Rationale: Massaging the fundus is the first action to address potential uterine atony, which may cause rapid bleeding, as indicated by the saturated pad.
Extract:
A nurse is caring for a client who is at 22 weeks of gestation and has been unable to control her gestational diabetes mellitus with diet and exercise.
Question 3 of 5
The nurse should anticipate a prescription from the provider for which of the following medications for the client?
Correct Answer: B
Rationale: Insulin is the preferred medication for gestational diabetes when diet and exercise are insufficient, as it is safe and effective during pregnancy.
Extract:
A postpartum client on magnesium sulfate for preeclampsia suddenly developed severe headaches, floating spots in the field of vision, and right upper quadrant abdominal pain. Vital signs are BP= 164/100, HR= 96, RR= 16. Laboratory results show liver enzymes are AST = 890, ALT= 980, and platelets = 25,000.
Question 4 of 5
This client most likely developed which condition?
Correct Answer: A
Rationale: The symptoms and lab results (elevated liver enzymes, low platelets) indicate HELLP Syndrome, a severe form of preeclampsia.
Extract:
A nurse is caring for a client who is experiencing a decrease in the fetal heart rate.
Question 5 of 5
Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Changing the client's position is the first action to relieve potential umbilical cord compression, which may improve fetal heart rate.