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ATI NUR223 Absection 4 Maternity Final Exam Questions

Extract:

A nurse is caring for a client who gave birth 2 hr ago. The nurse notes that the client's blood pressure is 60/50 mm Hg.


Question 1 of 5

Which of the following actions should the nurse take first?

Correct Answer: B

Rationale: Hypotension postpartum often results from uterine atony; evaluating uterine firmness identifies the cause of bleeding, guiding immediate interventions.

Extract:


Question 2 of 5

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

Correct Answer: D

Rationale: Early decelerations result from altered fetal cerebral blood flow due to head compression during contractions, a benign response.

Extract:

A nurse is completing discharge teaching to a client in her 35th week of pregnancy who has mild preeclampsia.


Question 3 of 5

Which of the following information about nutrition should be included in the teaching?

Correct Answer: A

Rationale: Avoiding salt reduces fluid retention, helping manage hypertension in mild preeclampsia.

Extract:

A nurse is caring for a client who is 2 hr postpartum following a vaginal birth.


Question 4 of 5

Which of the following findings indicates the client's bladder is distended?

Correct Answer: D

Rationale: A distended bladder can displace the uterus, causing the fundus to deviate from the midline, interfering with uterine contraction and potentially leading to uterine atony and excessive bleeding.

Extract:

A nurse is providing teaching to a client who is postpartum and does not plan to breastfeed.


Question 5 of 5

Which of the following instructions should the nurse include?

Correct Answer: C

Rationale: A supportive bra reduces milk production and discomfort by minimizing breast stimulation in non-breastfeeding mothers.

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