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ATI NUR223 Absection 4 Maternity Final Exam Questions

Extract:


Question 1 of 5

What is the most likely cause of early decelerations in the fetal heart rate (FHR) pattern?

Correct Answer: B

Rationale: Early decelerations are caused by fetal head compression during contractions, a benign response.

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


Question 3 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.

Extract:

A nurse places a newborn under a radiant heat warmer after birth.


Question 4 of 5

The purpose of this action is to prevent which of the following in the newborn?

Correct Answer: B

Rationale: A radiant heat warmer prevents cold stress, which can lead to hypothermia and metabolic complications.

Extract:

A nurse is caring for a client who is at 41 weeks of gestation and is receiving oxytocin for labor induction. The nurse notes early decelerations on the fetal heart monitor.


Question 5 of 5

Which of the following is an appropriate action by the nurse?

Correct Answer: D

Rationale: Early decelerations are benign, caused by fetal head compression; continued monitoring is appropriate as they do not indicate distress.

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