Questions 52

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ATI NUR 223 Maternal Newborn Exam 1 Questions

Extract:

A client at 38 weeks of gestation with painless, bright red vaginal bleeding, BP 98/52 mm Hg, HR 118/min, RR 24/min, temp 36.4°C, fetal HR 138/min, no contractions


Question 1 of 5

Which of the following is the priority nursing action?

Correct Answer: D

Rationale: IV access enables fluid administration to address hypovolemia from bleeding, unlike catheter insertion, consent, or prep.

Extract:

A client at 7 weeks of gestation with urinary frequency


Question 2 of 5

Which of the following responses should the nurse make?

Correct Answer: A

Rationale: Urinary frequency occurs in the first and third trimesters due to hormonal changes and uterine pressure.

Extract:

A group of clients in the antenatal clinic


Question 3 of 5

Which of the following statements should the nurse include in the teaching about fetal development?

Correct Answer: D

Rationale: The heartbeat is audible by Doppler at 12 weeks, unlike lanugo (disappears by 36 weeks), sex determination (at conception), or quickening (18-25 weeks).

Extract:

A client at her first prenatal visit


Question 4 of 5

Which of the following statements by the nurse should be included in the teaching about nutrition?

Correct Answer: D

Rationale: Prenatal vitamins provide increased vitamin D for bone health, unlike incorrect vitamin E, iron, or calcium statements.

Extract:

A client in the first trimester of pregnancy with no immunity to rubella


Question 5 of 5

When is the recommended time for rubella immunization?

Correct Answer: A

Rationale: Rubella vaccination post-delivery protects future pregnancies, as the live vaccine is contraindicated during pregnancy.

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