Questions 88

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ATI NUR223 Absection 4 Maternity Final Exam Questions

Extract:

A nurse is assessing a client who is in active labor and notes that the presenting part is at 0 station.


Question 1 of 5

Which of the following is the correct interpretation of this clinical finding?

Correct Answer: C

Rationale: Station 0 indicates the presenting part is at the level of the ischial spines, signifying engagement in the pelvis.

Extract:

A nurse is providing teaching to a client who is postpartum and does not plan to breastfeed.


Question 2 of 5

Which of the following instructions should the nurse include?

Correct Answer: C

Rationale: A supportive bra reduces milk production and discomfort by minimizing breast stimulation in non-breastfeeding mothers.

Extract:

A nurse on the labor and delivery unit is caring for a patient who is having induction of labor with oxytocin administered through a secondary IV line. Uterine contractions occur every 2 min, last 90 sec, and are strong to palpation. The baseline fetal heart rate is 150/min, with uniform decelerations beginning at the peak of the contraction and a return to baseline after the contraction is over.


Question 3 of 5

Which of the following actions should the nurse take?

Correct Answer: A

Rationale: Late decelerations indicate uteroplacental insufficiency; discontinuing oxytocin reduces uterine hyperstimulation, improving fetal oxygenation.

Extract:

A nurse is preparing to administer magnesium sulfate IV to a client who is experiencing preterm labor.


Question 4 of 5

Which of the following is the priority nursing assessment for this client?

Correct Answer: C

Rationale: Magnesium sulfate can depress respiratory function; monitoring respiratory rate is critical to detect toxicity.

Extract:

A nurse is completing discharge teaching to a client in her 35th week of pregnancy who has mild preeclampsia.


Question 5 of 5

Which of the following information about nutrition should be included in the teaching?

Correct Answer: A

Rationale: Avoiding salt reduces fluid retention, helping manage hypertension in mild preeclampsia.

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