Questions 88

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ATI NUR223 Absection 4 Maternity Final Exam Questions

Extract:

A nurse is caring for a client who is at 22 weeks of gestation and has been unable to control her gestational diabetes mellitus with diet and exercise.


Question 1 of 5

The nurse should anticipate a prescription from the provider for which of the following medications for the client?

Correct Answer: C

Rationale: Insulin is the preferred treatment for uncontrolled gestational diabetes, as it does not cross the placenta and is safe.

Extract:

A nurse is caring for a client who is a primigravida, at term, and having contractions but is stating that she is 'not really sure if she is in labor or not.'


Question 2 of 5

Which of the following should the nurse recognize as a sign of true labor?

Correct Answer: D

Rationale: Cervical dilation and effacement are definitive signs of true labor, distinguishing it from false labor.

Extract:

A nurse is providing preconception counseling for a client who is planning a pregnancy.


Question 3 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 new mother who is concerned that her newborn's eyes cross.


Question 4 of 5

Which of the following statements is a therapeutic response by the nurse?

Correct Answer: D

Rationale: Newborns often appear cross-eyed due to immature eye muscle control, typically resolving by 4 months.

Extract:

A nurse is preparing to administer magnesium sulfate IV to a client who is experiencing preterm labor.


Question 5 of 5

Which of the following is the priority nursing assessment for this client?

Correct Answer: C

Rationale: Magnesium sulfate can depress respiratory function; monitoring respiratory rate is critical to detect toxicity.

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