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ATI NUR223 Absection 4 Maternity Final Exam 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: D

Rationale: Assessing fetal heart rate post-amniotomy detects potential cord prolapse or distress, ensuring fetal well-being.

Extract:

A nurse on a labor unit is admitting a client who reports painful contractions. The nurse determines that the contractions have a duration of 1 min and a frequency of 3 min. The nurse obtains the following vital signs: fetal heart rate 130/min, maternal heart rate 128/min, and maternal blood pressure 92/54 mm Hg.


Question 2 of 5

Which of the following is the priority action for the nurse to take?

Correct Answer: C

Rationale: Low blood pressure (92/54 mm Hg) suggests hypotension; elevating one hip improves venous return, enhancing maternal and fetal perfusion.

Extract:

A nurse is providing preconception counseling for a client who is planning a pregnancy.


Question 3 of 5

Which of the following supplements should the nurse recommend to help prevent neural tube defects in the fetus?

Correct Answer: B

Rationale: Folic acid (400 mcg daily) significantly reduces the risk of neural tube defects like spina bifida.

Extract:

A nurse is caring for a client who is in active labor and notes late decelerations in the FHR.


Question 4 of 5

Which of the following actions should the nurse take first?

Correct Answer: B

Rationale: Changing the client's position, preferably to the left lateral, improves uteroplacental perfusion, addressing late decelerations caused by reduced fetal oxygenation.

Extract:

A nurse is performing a physical examination of a client who is 1 day postpartum.


Question 5 of 5

Which of the following findings requires immediate intervention?

Correct Answer: A

Rationale: A displaced fundus suggests uterine atony or bladder distension, risking postpartum hemorrhage, requiring immediate intervention.

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