Questions 74

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ATI Nur 232 Maternity Final Exam SP24 Questions

Extract:

A nurse in the labor and delivery unit is caring for a client who is undergoing external fetal monitoring. The nurse observes that the fetal heart rate begins to slow after the start of a contraction and the lowest rate occurs after the peak of the contraction.


Question 1 of 5

Which of the following actions should the nurse take first?

Correct Answer: C

Rationale: Placing the client in the lateral position is the first action to improve placental blood flow and address late decelerations.

Extract:

A nurse is formulating a care plan for a newborn who is small for gestational age (SGA).


Question 2 of 5

Which of the following should be the priority intervention in the newborn's care plan?

Correct Answer: D

Rationale: Monitoring blood glucose levels is the priority for SGA newborns due to the risk of hypoglycemia from limited glycogen stores.

Extract:

A nurse is caring for a client who is experiencing a decrease in the fetal heart rate.


Question 3 of 5

Which of the following actions should the nurse take?

Correct Answer: C

Rationale: Changing the client's position is the first action to relieve potential umbilical cord compression, which may improve fetal heart rate.

Extract:

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


Question 4 of 5

Which of the following actions should the nurse take first?

Correct Answer: B

Rationale: Evaluating the firmness of the uterus is the first action to identify uterine atony, a common cause of postpartum hemorrhage leading to low blood pressure. Other actions follow based on findings.

Extract:

A nurse is providing instructions to a pregnant client with genital herpes about the measures that are needed to protect the fetus.


Question 5 of 5

What information should the nurse give to the client?

Correct Answer: A, E

Rationale: A cesarean section prevents neonatal herpes transmission if lesions are present at labor. Valacyclovir suppressive therapy after 36 weeks reduces outbreak risk.

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