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ATI NUR223 Absection 4 Maternity Final Exam Questions

Extract:

A nurse is caring for a newborn who has macrosomia and whose mother has diabetes mellitus.


Question 1 of 5

The nurse should recognize which of the following newborn complications as the priority focus of care?

Correct Answer: B

Rationale: Hypoglycemia is a priority due to fetal hyperinsulinemia from maternal diabetes, risking neurological complications.

Extract:

A nurse is assisting a client who is postpartum with her first breastfeeding experience. The client asks how much of the nipple she should put into the newborn's mouth.


Question 2 of 5

Which of the following responses should the nurse make?

Correct Answer: A

Rationale: A proper latch includes the nipple and a portion of the areola, ensuring effective milk transfer and reducing nipple soreness.

Extract:

A nurse is assessing a client who is 6 hr postpartum following a vaginal delivery. The client reports perineal pain rated as 4 on a scale of 0 to 10.


Question 3 of 5

Which of the following actions should the nurse take?

Correct Answer: C

Rationale: An ice pack reduces perineal pain and swelling in the early postpartum period, providing immediate relief.

Extract:

A nurse is admitting a client who is at 38 weeks of gestation and is in the first stage of labor.


Question 4 of 5

Which of the following assessment findings should the nurse report to the provider first?

Correct Answer: C

Rationale: Prolonged contractions (2 min) risk fetal hypoxia, requiring immediate provider notification.

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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