Questions 88

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ATI NUR223 Absection 4 Maternity Final Exam Questions

Extract:

A nurse in the newborn nursery is caring for a group of newborns.


Question 1 of 5

Which of the following newborns requires immediate intervention?

Correct Answer: D

Rationale: Delayed meconium passage beyond 24 hours may indicate bowel obstruction, such as Hirschsprung's disease, requiring immediate evaluation.

Extract:

A nurse is teaching a client who is postpartum and has a new prescription for an injection of Rh(D) immunoglobulin.


Question 2 of 5

Which of the following should be included in the teaching?

Correct Answer: A

Rationale: Rh immunoglobulin prevents Rh-negative mothers from developing antibodies against Rh-positive fetal blood cells, protecting future pregnancies from hemolytic disease of the newborn.

Extract:

A nurse is assisting a client with breastfeeding.


Question 3 of 5

The nurse explains that which of the following reflexes will promote the newborn to latch?

Correct Answer: C

Rationale: The rooting reflex prompts the newborn to turn toward a stimulus and open its mouth, aiding latching.

Extract:

A nurse is assessing a client who is pregnant for preeclampsia.


Question 4 of 5

Which of the following findings should indicate to the nurse that the client requires further evaluation for this disorder?

Correct Answer: D

Rationale: Elevated blood pressure (>140/90 mm Hg) is a hallmark of preeclampsia, necessitating further evaluation.

Extract:

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


Question 5 of 5

Which of the following actions should the nurse take first?

Correct Answer: B

Rationale: Changing the client's position, preferably to the left lateral, improves uteroplacental perfusion, addressing late decelerations caused by reduced fetal oxygenation.

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