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ATI NUR223 Absection 4 Maternity Final Exam Questions

Extract:

A nurse is caring for a client who is in labor and has an external fetal monitor. The nurse observes variable decelerations in the fetal heart rate pattern.


Question 1 of 5

Which of the following actions should the nurse take first?

Correct Answer: B

Rationale: Variable decelerations suggest cord compression; the knee-chest position relieves pressure, improving fetal oxygenation.

Extract:

A nurse is caring for a client 2 hr after a spontaneous vaginal birth and the client has saturated two perineal pads with blood in a 30-min period.


Question 2 of 5

Which of the following is the priority nursing intervention at this time?

Correct Answer: C

Rationale: Excessive bleeding suggests uterine atony; palpating the fundus assesses uterine tone, guiding interventions to prevent hemorrhage.

Extract:

A nurse is providing teaching to the mother of a newborn born small for gestational age.


Question 3 of 5

Which of the following should the nurse include as a possible cause of this condition?

Correct Answer: D

Rationale: Placental insufficiency restricts nutrient and oxygen supply, causing intrauterine growth restriction and SGA.

Extract:

A nurse is caring for a client who is postpartum and has a prescription for methylergonovine maleate.


Question 4 of 5

Which of the following findings is a contraindication for administering this medication?

Correct Answer: A

Rationale: Methylergonovine is contraindicated in hypertension due to its vasoconstrictive effects, which can exacerbate high blood pressure.

Extract:

A nurse is caring for a client who is at 37 weeks of gestation and has placenta previa. The client asks why the provider does not do an internal examination.


Question 5 of 5

Which of the following explanations of the primary reason should the nurse provide?

Correct Answer: A

Rationale: Internal examination in placenta previa risks disrupting the placenta, causing severe hemorrhage due to its low-lying position over the cervix.

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