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ATI NUR223 Absection 4 Maternity Final Exam Questions

Extract:

A nurse is caring for a client who is at 36 weeks of gestation and who has suspected placenta previa. The client is admitted with bright red vaginal bleeding and no abdominal pain.


Question 1 of 5

Which of the following actions should the nurse take?

Correct Answer: C

Rationale: Betamethasone promotes fetal lung maturity in case of preterm delivery, indicated for placenta previa with bleeding at 36 weeks.

Extract:

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


Question 2 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 preparing to administer vitamin K by IM injection to a newborn.


Question 3 of 5

The nurse should administer the medication into which of the following muscles?

Correct Answer: C

Rationale: The vastus lateralis is a safe, accessible site with adequate muscle mass for IM injections in newborns.

Extract:

A nurse in a prenatal clinic is caring for a client. Using Leopold maneuvers, the nurse palpates a round, firm, moveable part in the fundus of the uterus and a long, smooth surface on the client's right side.


Question 4 of 5

In which abdominal quadrant should the nurse expect to auscultate fetal heart tones?

Correct Answer: B

Rationale: The fetal back on the right side suggests the heart tones are best auscultated in the right upper quadrant, where the fetal back is located.

Extract:

A nurse is caring for a client who experienced a vaginal birth 3 hr ago. Upon palpation, the fundus is displaced to the right of midline, is firm, and is two fingerbreadths above the umbilicus.


Question 5 of 5

Which of the following actions should the nurse complete at this time?

Correct Answer: D

Rationale: A displaced fundus suggests a full bladder, which can inhibit uterine contraction; having the client urinate relieves bladder pressure and aids uterine positioning.

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