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ATI NUR223 Absection 4 Maternity Final Exam Questions

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 1 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 caring for a client 2 hr after a spontaneous vaginal birth and the client has saturated two perineal pads with blood in a 30-min period.


Question 2 of 5

Which of the following is the priority nursing intervention at this time?

Correct Answer: C

Rationale: Excessive bleeding suggests uterine atony; palpating the fundus assesses uterine tone, guiding interventions to prevent hemorrhage.

Extract:

A nurse is preparing to administer amoxicillin 350 mg PO. Available is amoxicillin 250 mg/5 mL.


Question 3 of 5

How many mL should the nurse administer? (Round to the nearest whole number.)

Correct Answer: 7

Rationale: Calculate: 350 mg / (250 mg/5 mL) = 350 / 50 = 7 mL.

Extract:

A nurse is preparing to administer vitamin K by IM injection to a newborn.


Question 4 of 5

The nurse should administer the medication into which of the following muscles?

Correct Answer: C

Rationale: The vastus lateralis is a safe, accessible site with adequate muscle mass for IM injections in newborns.

Extract:

A nurse is assessing a client who is 12 hr postpartum following a vaginal delivery. The nurse notes that the fundus is firm, two fingerbreadths above the umbilicus, and deviated to the right.


Question 5 of 5

Which of the following actions should the nurse take?

Correct Answer: C

Rationale: A deviated fundus suggests bladder distension; assisting the client to void corrects uterine displacement.

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