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ATI NUR223 Absection 4 Maternity Final Exam Questions

Extract:

A nurse is caring for a client who is in active labor and notes late decelerations in the FHR.


Question 1 of 5

Which of the following actions should the nurse take first?

Correct Answer: B

Rationale: Changing the client's position, preferably to the left lateral, improves uteroplacental perfusion, addressing late decelerations caused by reduced fetal oxygenation.

Extract:

The nurse is performing a newborn assessment and evaluates a collection of blood beneath the newborn's scalp that does not cross the suture lines.


Question 2 of 5

The nurse documents this finding as

Correct Answer: D

Rationale: Cephalohematoma is a collection of blood beneath the periosteum of the infant's skull bones that does not cross suture lines, unlike caput succedaneum, which involves swelling that crosses suture lines.

Extract:

A nurse is teaching about nutrition guidelines to a parent of a newborn.


Question 3 of 5

Which of the following statements by the parent indicates understanding of the teaching?

Correct Answer: C

Rationale: Fruit juice should be delayed until 6 months to avoid nutritional imbalances and tooth decay, per AAP guidelines.

Extract:

A nurse in the newborn nursery is caring for a group of newborns.


Question 4 of 5

Which of the following newborns requires immediate intervention?

Correct Answer: D

Rationale: Delayed meconium passage beyond 24 hours may indicate bowel obstruction, such as Hirschsprung's disease, requiring immediate evaluation.

Extract:

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


Question 5 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.

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