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ATI NUR223 Absection 4 Maternity Final Exam Questions

Extract:

A nurse is caring for a client who is at 41 weeks of gestation and is receiving oxytocin for labor induction. The nurse notes early decelerations on the fetal heart monitor.


Question 1 of 5

Which of the following is an appropriate action by the nurse?

Correct Answer: D

Rationale: Early decelerations are benign, caused by fetal head compression; continued monitoring is appropriate as they do not indicate distress.

Extract:

A nurse is assessing a client who is at 39 weeks of gestation and in active labor. The client reports leakage of fluid and the nurse notes a small amount of clear fluid in the client's perineal area.


Question 2 of 5

Which of the following actions should the nurse take first?

Correct Answer: A

Rationale: A nitrazine test confirms rupture of membranes by detecting amniotic fluid's alkaline pH, guiding further management.

Extract:

A nurse is preparing to assess a newborn who is postmature.


Question 3 of 5

Which of the following findings should the nurse expect? (Select all that apply.)

Correct Answer: D,E

Rationale: D: The Moro reflex is present in postmature newborns. E: Prolonged amniotic fluid exposure causes cracked, peeling skin in postmature infants.

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 4 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 in a prenatal clinic is teaching a client who is in her second trimester and has a new diagnosis of gestational diabetes.


Question 5 of 5

Which of the following statements by the client indicates a need for further teaching?

Correct Answer: B

Rationale: Carbohydrate intake should be individualized, not fixed at 50%; further teaching is needed for dietary management.

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