Questions 74

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ATI Nur 232 Maternity Final Exam SP24 Questions

Extract:

A nurse is caring for a client who is receiving heparin 3,800 units subcutaneously daily. Available is heparin 5,000 units/mL.


Question 1 of 5

How many ml should the nurse administer? (Round the answer to the nearest tenth.)

Correct Answer: 0.8

Rationale:
To calculate: 3,800 units ÷ 5,000 units/mL = 0.76 mL, rounded to 0.8 mL.

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 2 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.

Extract:

A newborn tests positive for the hepatitis B surface antigen.


Question 3 of 5

Which of the following should the nurse administer?

Correct Answer: B

Rationale: Administering hepatitis B immune globulin and vaccine within 12 hours of birth provides immediate and long-term protection for a newborn testing positive for hepatitis B surface antigen.

Extract:

A nurse is caring for a client who is 12 hours postpartum following a vaginal delivery.


Question 4 of 5

Which of the following findings should the nurse expect?

Correct Answer: C

Rationale: A firm fundus at the umbilicus is expected 12 hours postpartum, indicating proper uterine contraction.

Extract:

A nurse is preparing to administer 250 mg of an antibiotic intramuscularly to a pregnant client for a sexually transmitted infection. The available medication is 3 g/5 mL.


Question 5 of 5

How many mL should the nurse administer per dose?

Correct Answer: B

Rationale: Calculation: 3 g = 3000 mg; 3000 mg ÷ 5 mL = 600 mg/mL; 250 mg ÷ 600 mg/mL = 0.42 mL.

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