Questions 88

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ATI NUR223 Absection 4 Maternity Final Exam Questions

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 1 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 caring for a newborn and assessing newborn reflexes.


Question 2 of 5

To elicit the Moro reflex, the nurse should take which of the following actions?

Correct Answer: B

Rationale: A sharp hand clap triggers the Moro reflex, causing the newborn to extend arms and legs outward, then pull them back.

Extract:

A nurse is teaching about nutrition guidelines to a parent of a newborn.


Question 3 of 5

Which of the following statements by the parent indicates understanding of the teaching?

Correct Answer: C

Rationale: Fruit juice should be delayed until 6 months to avoid nutritional imbalances and tooth decay, per AAP guidelines.

Extract:

A nurse is caring for a client who is in labor and has an external fetal monitor. The nurse observes variable decelerations in the fetal heart rate pattern.


Question 4 of 5

Which of the following actions should the nurse take first?

Correct Answer: B

Rationale: Variable decelerations suggest cord compression; the knee-chest position relieves pressure, improving fetal oxygenation.

Extract:

A nurse is caring for a client who is in labor and has an epidural for pain relief. The client's blood pressure is 88/50 mm Hg and the fetal heart rate is 140/min with minimal variability and late decelerations.


Question 5 of 5

Which of the following actions should the nurse take?

Correct Answer: D

Rationale: Hypotension and late decelerations suggest maternal and fetal compromise; notifying the provider ensures timely intervention.

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