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ATI NUR223 Absection 4 Maternity Final Exam Questions

Extract:

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


Question 1 of 5

Which of the following is the priority nursing action?

Correct Answer: C

Rationale: Positioning on the side, preferably left, improves placental perfusion, addressing late decelerations.

Extract:

At midpoint during pregnancy, you review beginning signs of labor with a client.


Question 2 of 5

One of the beginning signs of labor you would review is:

Correct Answer: B

Rationale: A sudden gush of clear fluid indicates rupture of membranes, a common sign of labor onset, signaling the start of labor or impending delivery.

Extract:

The nurse is performing a newborn assessment and evaluates a collection of blood beneath the newborn's scalp that does not cross the suture lines.


Question 3 of 5

The nurse documents this finding as

Correct Answer: D

Rationale: Cephalohematoma is a collection of blood beneath the periosteum of the infant's skull bones that does not cross suture lines, unlike caput succedaneum, which involves swelling that crosses suture lines.

Extract:

A nurse in a prenatal clinic is teaching a client who is in her second trimester and has a new diagnosis of gestational diabetes.


Question 4 of 5

Which of the following statements by the client indicates a need for further teaching?

Correct Answer: B

Rationale: Carbohydrate intake should be individualized, not fixed at 50%; further teaching is needed for dietary management.

Extract:

A nurse is assessing a client who is 4 hr postpartum following a vaginal delivery.


Question 5 of 5

Which of the following findings should the nurse identify as the priority?

Correct Answer: C

Rationale: A saturated pad in 30 minutes indicates excessive bleeding, potentially from uterine atony, requiring immediate intervention.

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