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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.

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