Questions 74

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ATI Nur 232 Maternity Final Exam SP24 Questions

Extract:

A nurse is preparing to administer vitamin K.


Question 1 of 5

Which of the following muscles should the nurse consider for the injection?

Correct Answer: B

Rationale: The vastus lateralis is the preferred site for vitamin K injection in infants due to its size and safety.

Extract:

A nurse is completing discharge teaching to a client in her 35th week of pregnancy who has mild preeclampsia.


Question 2 of 5

Which of the following information about nutrition should be included in the teaching?

Correct Answer: A

Rationale: Adequate hydration (48-64 ounces of water daily) supports overall health and helps manage mild preeclampsia. Protein intake should be higher (~71g/day), whole grains and vegetables are beneficial, and avoiding salt is secondary to reducing overall sodium intake.

Extract:

A nurse is caring for a client who is in labor and has an epidural anesthesia block. The client's blood pressure is 80/40 mm Hg and the fetal heart rate is 140/min.


Question 3 of 5

Which of the following is the priority nursing action?

Correct Answer: A

Rationale: Placing the client in a lateral position is the priority to improve uterine and placental blood flow, addressing hypotension from epidural anesthesia.

Extract:

A nurse is caring for a client who is at 22 weeks of gestation and has been unable to control her gestational diabetes mellitus with diet and exercise.


Question 4 of 5

The nurse should anticipate a prescription from the provider for which of the following medications for the client?

Correct Answer: B

Rationale: Insulin is the preferred medication for gestational diabetes when diet and exercise are insufficient, as it is safe and effective during pregnancy.

Extract:

A nurse is examining a client who is in active labor and observes that the presenting part is in the left occiput posterior position.


Question 5 of 5

What is the clinical interpretation of this finding?

Correct Answer: D

Rationale: The finding indicates the fetal head is in the left occiput posterior position, describing the orientation of the fetal head.

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