Questions 56

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ATI Maternal Newborn Exam 3 Reno 2 2020 Questions

Extract:

Client is postpartum with first breastfeeding experience


Question 1 of 5

A nurse is assisting a client who is postpartum with her first breastfeeding experience. When the client asks how much of the nipple she should put into the newborn's mouth, which of the following responses should the nurse make?

Correct Answer: A

Rationale: A proper latch includes the nipple and part of the areola to ensure effective breastfeeding and prevent nipple trauma.

Extract:

Baby born 10 hours ago by cesarean section with moist lung sounds


Question 2 of 5

A nursing student is helping the nursery nurses with morning vital signs. A baby born 10 hours ago by cesarean section is found to have moist lung sounds. What is the best interpretation of these data?

Correct Answer: B

Rationale: Moist lung sounds in cesarean-born newborns are common due to retained fluid, typically resolving within 24 hours.

Extract:

Newly delivered mother intending to breastfeed who wants to resume smoking


Question 3 of 5

A newly delivered mother who intends to breastfeed tells her nurse, 'I am so relieved that this pregnancy is over so that I can start smoking again.' The nurse encourages the client to refrain from smoking. However, this new mother is insistent that she will resume smoking. How will the nurse adapt her health teaching with this new information?

Correct Answer: A

Rationale: Smoking in another room minimizes the newborn's exposure to harmful secondhand smoke.

Extract:

Woman gave birth to a 7-pound, 6-ounce infant girl 1 hour ago, vaginal birth, estimated blood loss 1500 ml


Question 4 of 5

A woman gave birth to a 7-pound, 6-ounce infant girl 1 hour ago. The birth was vaginal and the estimated blood loss (EBL) was 1500 ml. When evaluating the woman's vital signs, which finding would be of greatest concern to the nurse?

Correct Answer: D

Rationale: Elevated heart rate and low blood pressure with significant blood loss suggest hypovolemic shock, requiring immediate intervention.

Extract:


Question 5 of 5

Which documentation on a woman's chart on postpartum day 14 indicates a normal involution process?

Correct Answer: B

Rationale: A nonpalpable fundus below the symphysis on day 14 indicates normal uterine involution as it returns to pre-pregnancy size.

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