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ATI NUR223 Absection 4 Maternity Final Exam Questions

Extract:

A nurse in a prenatal clinic is caring for a client. Using Leopold maneuvers, the nurse palpates a round, firm, moveable part in the fundus of the uterus and a long, smooth surface on the client's right side.


Question 1 of 5

In which abdominal quadrant should the nurse expect to auscultate fetal heart tones?

Correct Answer: B

Rationale: The fetal back on the right side suggests the heart tones are best auscultated in the right upper quadrant, where the fetal back is located.

Extract:

A nurse is assessing a newborn immediately following a scheduled cesarean delivery.


Question 2 of 5

Which of the following assessments is the nurse's priority?

Correct Answer: D

Rationale: Respiratory distress is the priority due to the risk of incomplete lung fluid clearance in cesarean deliveries, which can lead to breathing difficulties requiring immediate intervention.

Extract:

A nurse is assessing a client who is in active labor and notes that the presenting part is at 0 station.


Question 3 of 5

Which of the following is the correct interpretation of this clinical finding?

Correct Answer: C

Rationale: Station 0 indicates the presenting part is at the level of the ischial spines, signifying engagement in the pelvis.

Extract:

A nurse is providing teaching to a client who is postpartum and does not plan to breastfeed.


Question 4 of 5

Which of the following instructions should the nurse include?

Correct Answer: C

Rationale: A supportive bra reduces milk production and discomfort by minimizing breast stimulation in non-breastfeeding mothers.

Extract:

A nurse is caring for a newborn who has macrosomia and whose mother has diabetes mellitus.


Question 5 of 5

The nurse should recognize which of the following newborn complications as the priority focus of care?

Correct Answer: B

Rationale: Hypoglycemia is a priority due to fetal hyperinsulinemia from maternal diabetes, risking neurological complications.

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