ATI RN
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.