Questions 74

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ATI Nur 232 Maternity Final Exam SP24 Questions

Extract:

A nurse is assessing a newborn immediately after a scheduled cesarean delivery.


Question 1 of 5

Which of the following assessments should be the nurse's priority?

Correct Answer: C

Rationale: Respiratory distress is the priority assessment post-cesarean due to the risk of transient tachypnea of the newborn.

Extract:

A nurse is teaching a client who is postpartum and has a new prescription for Rh(D) immunoglobulin.


Question 2 of 5

Which of the following should be included in the teaching?

Correct Answer: A

Rationale: Rh(
D) immunoglobulin prevents Rh-negative mothers from forming antibodies against Rh-positive fetal blood, reducing risks in future pregnancies. It does not destroy antibodies or affect newborns directly.

Extract:

A newborn tests positive for the hepatitis B surface antigen.


Question 3 of 5

Which of the following should the nurse administer?

Correct Answer: B

Rationale: Administering hepatitis B immune globulin and vaccine within 12 hours of birth provides immediate and long-term protection for a newborn testing positive for hepatitis B surface antigen.

Extract:

A nurse is caring for a client who is at 36 weeks of gestation and suspected of having placenta previa.


Question 4 of 5

Which of the following observations would support this diagnosis?

Correct Answer: D

Rationale: Painless red vaginal bleeding is a hallmark sign of placenta previa, caused by the placenta separating as the cervix effaces.

Extract:

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


Question 5 of 5

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

Correct Answer: D

Rationale: The findings suggest a breech position with the fetal back on the left, placing the fetal chest (and heart tones) in the right lower quadrant.

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