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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 with 7 cm of cervical dilation and 100% effacement. The fetus is at 1+ station, and the client's amniotic membranes are intact. The client suddenly states that she needs to push.


Question 1 of 5

Which of the following actions should the nurse take?

Correct Answer: A

Rationale: The urge to push at 7 cm dilation suggests rapid labor progression; observing for crowning confirms if delivery is imminent.

Extract:

A nurse is caring for a term macrosomic newborn whose mother has poorly controlled type 2 diabetes. The newborn has respiratory distress syndrome.


Question 2 of 5

The nurse should be aware that the most likely cause of the respiratory distress is which of the following?

Correct Answer: D

Rationale: Hyperinsulinemia delays lung maturation, reducing surfactant and causing respiratory distress syndrome.

Extract:

A nurse is preparing to administer amoxicillin 350 mg PO. Available is amoxicillin 250 mg/5 mL.


Question 3 of 5

How many mL should the nurse administer? (Round to the nearest whole number.)

Correct Answer: 7

Rationale: Calculate: 350 mg / (250 mg/5 mL) = 350 / 50 = 7 mL.

Extract:

A nurse is providing teaching to a client who is planning to breastfeed her newborn. The client has a history of surgical resection of the terminal ileum.


Question 4 of 5

Which of the following vitamins should the nurse instruct the client to supplement for the newborn?

Correct Answer: C

Rationale: Resection of the terminal ileum impairs vitamin B12 absorption, risking deficiency in breast milk; supplementation prevents newborn deficiency.

Extract:

A nurse is caring for a client who experienced a vaginal delivery 12 hr ago. The nurse recognizes the client is in the dependent, taking in phase of maternal postpartum adjustment.


Question 5 of 5

Which of the following findings should the nurse expect during this phase?

Correct Answer: C

Rationale: In the dependent, taking-in phase, mothers express excitement and focus on their own needs, relying on others for support.

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