ATI RN
ATI NUR223 Absection 4 Maternity Final Exam Questions
Extract:
A nurse is preparing to administer vitamin K by IM injection to a newborn.
Question 1 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.
Extract:
A nurse is providing preconception counseling for a client who is planning a pregnancy.
Question 2 of 5
Which of the following supplements should the nurse recommend to help prevent neural tube defects in the fetus?
Correct Answer: B
Rationale: Folic acid (400 mcg daily) significantly reduces the risk of neural tube defects like spina bifida.
Extract:
A nurse is caring for a client who is in the first stage of labor and is using pattern-paced breathing. The client says she feels lightheaded and her fingers are tingling.
Question 3 of 5
Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Lightheadedness and tingling indicate hyperventilation; breathing into a paper bag restores CO2 levels, correcting respiratory alkalosis.
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 4 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 assessing a client who is in active labor and notes that the presenting part is at 0 station.
Question 5 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.