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ATI NUR223 Absection 4 Maternity Final Exam Questions

Extract:

A nurse is caring for a new mother who is concerned that her newborn's eyes cross.


Question 1 of 5

Which of the following statements is a therapeutic response by the nurse?

Correct Answer: D

Rationale: Newborns often appear cross-eyed due to immature eye muscle control, typically resolving by 4 months.

Extract:

A nurse on the labor and delivery unit is caring for a patient who is having induction of labor with oxytocin administered through a secondary IV line. Uterine contractions occur every 2 min, last 90 sec, and are strong to palpation. The baseline fetal heart rate is 150/min, with uniform decelerations beginning at the peak of the contraction and a return to baseline after the contraction is over.


Question 2 of 5

Which of the following actions should the nurse take?

Correct Answer: A

Rationale: Late decelerations indicate uteroplacental insufficiency; discontinuing oxytocin reduces uterine hyperstimulation, improving fetal oxygenation.

Extract:

A nurse in a prenatal clinic is caring for a client who is suspected of having a hydatidiform mole.


Question 3 of 5

Which of the following findings should the nurse expect to observe in this client?

Correct Answer: B

Rationale: Excessive uterine enlargement is characteristic of a hydatidiform mole due to rapid abnormal placental growth.

Extract:

A nurse is caring for a client who is in the first stage of labor and is using pattern-paced breathing. The client says she feels lightheaded and her fingers are tingling.


Question 4 of 5

Which of the following actions should the nurse take?

Correct Answer: C

Rationale: Lightheadedness and tingling indicate hyperventilation; breathing into a paper bag restores CO2 levels, correcting respiratory alkalosis.

Extract:

A nurse is caring for a client who is 4 hr postpartum following a vaginal birth. The client has saturated a perineal pad within 10 min.


Question 5 of 5

Which of the following actions should the nurse take first?

Correct Answer: A

Rationale: Rapid pad saturation suggests uterine atony; fundal massage promotes contraction to control bleeding.

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