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ATI NUR223 Absection 4 Maternity Final Exam Questions

Extract:

A nurse is planning care for a newborn who is small for gestational age (SGA).


Question 1 of 5

Which of the following is the priority intervention the nurse should include in the newborn's plan of care?

Correct Answer: D

Rationale: SGA newborns are at high risk for hypoglycemia due to low glycogen stores; monitoring blood glucose prevents neurological complications.

Extract:

A nurse places a newborn under a radiant heat warmer after birth.


Question 2 of 5

The purpose of this action is to prevent which of the following in the newborn?

Correct Answer: B

Rationale: A radiant heat warmer prevents cold stress, which can lead to hypothermia and metabolic complications.

Extract:

A nurse is caring for a client who is 2 hr postpartum following a vaginal birth.


Question 3 of 5

Which of the following findings indicates the client's bladder is distended?

Correct Answer: D

Rationale: A distended bladder can displace the uterus, causing the fundus to deviate from the midline, interfering with uterine contraction and potentially leading to uterine atony and excessive bleeding.

Extract:

A nurse in a hospital is caring for a client who is at 38 weeks of gestation and has a large amount of painless, bright red vaginal bleeding. The client is placed on a fetal monitor indicating a regular fetal heart rate of 138/min and no uterine contractions. The client's vital signs are: blood pressure 98/52 mm Hg, heart rate 118/min, respiratory rate 24/min, and temperature 36.4° C (97.6° F).


Question 4 of 5

Which of the following is the priority nursing action?

Correct Answer: D

Rationale: IV access is critical for fluid resuscitation and medication administration in suspected placenta previa with hemorrhage.

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 5 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.

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