ATI RN Maternity Proctored Exam 2021.

ATI RN Maternity Proctored Exam 2021. A nurse is collecting data from a client who is 12 hr postpartum following a spontaneous vaginal delivery. The nurse should expect to find the uterine fundus at which of the following positions on the client’s abdomen? At the level of the umbilicus Within 12 hr, the fundus should rise to the level of the umbilicus and then recede 1 to 2 cm each day. A nurse is caring for a client who is 4 hr postpartum. The nurse finds a small amount of lochia rubra on the client's perineal pad. The fundus is midline and firm at the umbilicus. Which of the following actions should the nurse take? Perform fundal massage The nurse notes that the fundus is midline and firm; therefore, fundal massage is not indicated at this time. A nurse is preparing to palpate the uterine fundus of a client who is at 22 weeks of gestation to measure fundal height. At which of the following locations should the nurse expect to find the fundus? At the umbilicus At 22 weeks of gestation, the fundal height should be around the level of the umbilicus. The distance in centimeters from the symphysis pubis to the top of the fundus is a rough estimate of gestational age. A nurse is caring for a client in the prenatal clinic who is at 7 weeks of gestation. The client reports urinary frequency and asks the nurse if this will continue throughout her pregnancy. Which of the following responses by the nurse is appropriate? "No, it should only last until about your 12th week, but it will return near the end of the pregnancy." Urinary frequency usually disappears at about 12 weeks of gestation but returns near term as the enlarging uterus presses on the bladder. It can also worsen following fetal descent. A nurse in a prenatal clinic overhears a newly licensed nurse discussing conception with a client. Which of the following statements by the newly licensed nurse requires intervention by the nurse? “Implantation occurs between two and three weeks after conception.” ANSWER This statement requires clarification because implantation follows conception within 6 to 10 days. A nurse is preparing to auscultate fetal heart tones for a client who is pregnant. Using Leopold maneuvers, the nurse palpates a round, firm, moveable part in the fundal portion of the uterus and a long, smooth surface on the mother’s right side. In which of the following maternal quadrants should the nurse auscultate fetal heart tones? Right upper quadrant.