Questions 119

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ATI Maternity Exam 3 Questions

Extract:

A full-term infant with a slightly decreased temperature.


Question 1 of 5

The nurse's initial action when caring for an otherwise stable, full term infant with a slightly decreased temperature is to:

Correct Answer: A

Rationale: Skin-to-skin contact effectively warms a stable infant while promoting bonding, avoiding unnecessary interventions like blood tests or incubator use.

Extract:

A client following an amniotomy who is now in the active phase of the first stage of labor


Question 2 of 5

A nurse is caring for a client following an amniotomy who is now in the active phase of the first stage of labor. Which of the following actions should the nurse implement with this client?

Correct Answer: B

Rationale: Encouraging bladder emptying every 2 hours prevents obstruction of fetal descent. Lithotomy is for delivery, bearing down is for the second stage, and frequent exams risk infection.

Extract:

A client who is at 12 weeks of gestation


Question 3 of 5

A nurse is providing teaching about expected gestational changes to a client who is at 12 weeks of gestation. Which of the following statements by the client indicates a need for further teaching?

Correct Answer: B

Rationale: Nonprescription medications may harm the fetus, requiring healthcare provider consultation, indicating a need for further teaching. Monitoring weight, consulting on remedies, and reducing stress are appropriate.

Extract:

A client who is in labor


Question 4 of 5

A nurse is caring for a client who is in labor and assists the provider who performs an amniotomy. Which of the following is the priority action by the nurse following the procedure?

Correct Answer: A

Rationale: Fetal heart rate assessment post-amniotomy detects distress from cord compression. Underpads, fluid odor, and temperature are secondary priorities.

Extract:

A client who is at 12 weeks gestation


Question 5 of 5

A nurse in a prenatal clinic is caring for a client who is at 12 weeks gestation. The client asks about the cause of her heartburn. Which of the following responses should the nurse make?

Correct Answer: D

Rationale: Progesterone relaxes the cardiac sphincter and slows gastric emptying, causing heartburn. Bile retention, estrogen, and uterine pressure are not primary causes.

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