Questions 74

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ATI Nur 232 Maternity Final Exam SP24 Questions

Extract:

A nurse is caring for a client who is gravida 3, para 2, and is in active labor. The fetal head is at 3+ station after a vaginal examination.


Question 1 of 5

Which of the following actions should the nurse take?

Correct Answer: A

Rationale: At 3+ station, the fetal head is near the vaginal opening, so observing for crowning is appropriate as delivery is imminent.

Extract:

A nurse is caring for a client who is receiving heparin 3,800 units subcutaneously daily. Available is heparin 5,000 units/mL.


Question 2 of 5

How many ml should the nurse administer? (Round the answer to the nearest tenth.)

Correct Answer: 0.8

Rationale:
To calculate: 3,800 units ÷ 5,000 units/mL = 0.76 mL, rounded to 0.8 mL.

Extract:

A nurse is assisting a client who is postpartum with her first breastfeeding experience.


Question 3 of 5

When the client asks how much of the nipple she should put into the newborn's mouth, which of the following responses should the nurse make?

Correct Answer: A

Rationale: Placing the nipple and some areola ensures a proper latch for effective breastfeeding.

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 4 of 5

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

Correct Answer: B

Rationale: Insulin is the preferred medication for gestational diabetes when diet and exercise are insufficient, as it is safe and effective during pregnancy.

Extract:

A nurse is preparing to administer 250 mg of an antibiotic intramuscularly to a pregnant client for a sexually transmitted infection. The available medication is 3 g/5 mL.


Question 5 of 5

How many mL should the nurse administer per dose?

Correct Answer: B

Rationale: Calculation: 3 g = 3000 mg; 3000 mg ÷ 5 mL = 600 mg/mL; 250 mg ÷ 600 mg/mL = 0.42 mL.

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