Questions 74

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ATI Nur 232 Maternity Final Exam SP24 Questions

Extract:

A nurse is caring for a client who is in labor and assists the provider who performs an amniotomy.


Question 1 of 5

Which of the following is the priority action by the nurse following the procedure?

Correct Answer: A

Rationale: Assessing the fetal heart rate is the priority post-amniotomy to detect any distress from cord compression or other complications.

Extract:

A nurse is caring for a client who is receiving heparin 3,800 units subcutaneously daily. Available is heparin 5,000 units/mL.


Question 2 of 5

How many ml should the nurse administer? (Round the answer to the nearest tenth.)

Correct Answer: 0.8

Rationale:
To calculate: 3,800 units ÷ 5,000 units/mL = 0.76 mL, rounded to 0.8 mL.

Extract:

A nurse is examining a client who is in active labor and observes that the presenting part is in the left occiput posterior position.


Question 3 of 5

What is the clinical interpretation of this finding?

Correct Answer: D

Rationale: The finding indicates the fetal head is in the left occiput posterior position, describing the orientation of the fetal head.

Extract:

A nurse is assisting a client with breastfeeding.


Question 4 of 5

The nurse explains that which of the following reflexes will promote the newborn to latch?

Correct Answer: C

Rationale: The rooting reflex helps newborns turn toward a stimulus and open their mouth to latch during breastfeeding.

Extract:

A nurse is caring for a client who is in the first stage of labor and is using pattern-paced breathing.


Question 5 of 5

Which of the following actions should the nurse take if the client's fingers are tingling?

Correct Answer: B

Rationale: Tucking the chin to the chest reduces hyperventilation, which causes tingling due to low carbon dioxide levels.

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