Questions 88

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ATI NUR223 Absection 4 Maternity Final Exam Questions

Extract:

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


Question 1 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 planning care for a client who is 2 hours postpartum following a cesarean birth. The client has a history of thromboembolic disease.


Question 2 of 5

Which of the following nursing interventions should be included in the plan of care?

Correct Answer: A

Rationale: Early ambulation prevents venous stasis, reducing thromboembolism risk in high-risk clients.

Extract:

A nurse is caring for a newborn and assessing newborn reflexes.


Question 3 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 caring for a newborn who has macrosomia and whose mother has diabetes mellitus.


Question 4 of 5

The nurse should recognize which of the following newborn complications as the priority focus of care?

Correct Answer: B

Rationale: Hypoglycemia is a priority due to fetal hyperinsulinemia from maternal diabetes, risking neurological complications.

Extract:


Question 5 of 5

What is the most likely cause of early decelerations in the fetal heart rate (FHR) pattern?

Correct Answer: D

Rationale: Early decelerations result from altered fetal cerebral blood flow due to head compression during contractions, a benign response.

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