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ATI NUR223 Absection 4 Maternity Final Exam Questions

Extract:

A nurse is caring for a client who experienced a vaginal delivery 12 hr ago.


Question 1 of 5

When palpating the client's abdomen, at which of the following positions should the nurse expect to find the uterine fundus?

Correct Answer: C

Rationale: 12 hours postpartum, the fundus descends approximately one fingerbreadth below the umbilicus, nearing the symphysis pubis.

Extract:

A nurse receives report about assigned clients at the start of the shift.


Question 2 of 5

Which of the following clients should the nurse plan to see first?

Correct Answer: D

Rationale: A client 4 hr post-cesarean with pain requires urgent assessment for potential complications like hemorrhage or infection, prioritizing over stable clients.

Extract:

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


Question 3 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 on the labor and delivery unit is caring for a newborn immediately following birth.


Question 4 of 5

Which of the following actions by the nurse reduces evaporative heat loss by the newborn?

Correct Answer: B

Rationale: Drying the newborn's skin prevents evaporative heat loss by removing moisture, maintaining body temperature.

Extract:

A nurse in a hospital is caring for a client who is at 38 weeks of gestation and has a large amount of painless, bright red vaginal bleeding. The client is placed on a fetal monitor indicating a regular fetal heart rate of 138/min and no uterine contractions. The client's vital signs are: blood pressure 98/52 mm Hg, heart rate 118/min, respiratory rate 24/min, and temperature 36.4° C (97.6° F).


Question 5 of 5

Which of the following is the priority nursing action?

Correct Answer: D

Rationale: IV access is critical for fluid resuscitation and medication administration in suspected placenta previa with hemorrhage.

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