Questions 88

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ATI NUR223 Absection 4 Maternity Final Exam Questions

Extract:

A nurse is assisting a client with breastfeeding.


Question 1 of 5

The nurse explains that which of the following reflexes will promote the newborn to latch?

Correct Answer: C

Rationale: The rooting reflex prompts the newborn to turn toward a stimulus and open its mouth, aiding latching.

Extract:

A nurse is caring for an adolescent client who is gravida 1 and para 0, admitted at 38 weeks of gestation with a diagnosis of preeclampsia.


Question 2 of 5

Which of the following findings should the nurse identify as inconsistent with preeclampsia?

Correct Answer: B

Rationale: Deep tendon reflexes of +1 (normal or slightly increased) are inconsistent with preeclampsia, which typically presents with hyperreflexia due to central nervous system irritability.

Extract:

A nurse is caring for a client who is at 37 weeks of gestation and has placenta previa. The client asks why the provider does not do an internal examination.


Question 3 of 5

Which of the following explanations of the primary reason should the nurse provide?

Correct Answer: A

Rationale: Internal examination in placenta previa risks disrupting the placenta, causing severe hemorrhage due to its low-lying position over the cervix.

Extract:

A nurse is caring for a client who is postpartum and finds the fundus slightly boggy and displaced to the right.


Question 4 of 5

Which of the following actions should the nurse take?

Correct Answer: A

Rationale: A boggy, displaced fundus indicates possible bladder distension; voiding relieves pressure, aiding uterine contraction.

Extract:

A nurse is preparing to administer vitamin K by IM injection to a newborn.


Question 5 of 5

The nurse should administer the medication into which of the following muscles?

Correct Answer: C

Rationale: The vastus lateralis is a safe, accessible site with adequate muscle mass for IM injections in newborns.

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