ATI PN Maternal Newborn Rn X1

Extract:

client, vaginal birth 2 hours ago

Question 1 of 5

A nurse is assisting in the care of a client who had a vaginal birth 2 hours ago. Which of the following actions should the nurse take? (Select all that apply):

Correct Answer: B,C,D

Rationale: B, C, D: These actions ensure proper uterine assessment. A and E are incorrect as massaging a firm fundus is unnecessary, and terbutaline worsens bleeding.

Extract:

client, 32 weeks gestation, in labor

Question 2 of 5

A nurse is assisting with the care of a client who is at 32 weeks of gestation and in labor. The client asks the nurse, 'Will my baby be okay?' Which of the following responses should the nurse make?

A. You are far enough along that your baby will be just fine. B. Everyone worries about their baby while they are in labor. C. You must be feeling very scared. Tell me more about your concerns. D. We have a neonatal unit here equipped to handle emergencies.

Correct Answer: C

Rationale: This response acknowledges the clientâ€™s fear and encourages discussion, providing emotional support.

Extract:

neonate, delayed cord clamping

Question 3 of 5

Delayed cord clamping provides many benefits to the neonate and is considered a standard of care. The benefits include improvement in transitional circulation and..

A. Decreased iron stores during the first few months of life B. Decreased in RBC volume and hemoglobin levels C. Lowered incidence of necrotizing enterocolitis and intraventricular hemorrhage in preterm babies D. Increased need for blood transfusions

Correct Answer: C

Rationale: Delayed cord clamping reduces the risk of necrotizing enterocolitis and intraventricular hemorrhage in preterm infants by improving circulation and oxygen delivery.

Extract:

client, trial of labor for vaginal birth after cesarean (TOLAC)

Question 4 of 5

A nurse is caring for a client who wants to know if it is possible to have a trial of labor for a vaginal birth after a cesarean birth (TOLAC). Which of the following statements by the nurse is appropriate?

A. It is too soon for you to be worrying about that now. B. The primary consideration for a safe attempt at a vaginal birth after cesarean (VBAC) is what type of incision you had. C. There are so many variables and I don't have time to explain them all to you, so you will have to ask your provider later. D. A repeat cesarean section would be safer for both you and your baby.

Correct Answer: B

Rationale: The type of incision (e.g., low transverse vs. classical) determines the risk of uterine rupture during VBAC, making it a critical factor for TOLAC eligibility.

Extract:

client, 14 hr postpartum, boggy fundus, large lochia rubra

Question 5 of 5

A nurse is collecting data from a client who is 14 hr postpartum. The nurse notes: breasts soft, fundus boggy 4 fingerbreadths above the umbilicus and deviated to the right, large lochia rubra, temperature 37.7Â°C (100Â°F), pulse rate 88/min, respiratory rate 18/min. Which of the following actions should the nurse perform?

A. Ask the client to empty her bladder. B. Report the client's temperature elevation. C. Increase IV fluids. D. Encourage the client to nurse more frequently so her milk will come in.

Correct Answer: A

Rationale: Emptying the bladder addresses the deviated fundus and reduces bleeding, the priority in this scenario.

ATI PN Maternal Newborn Rn X1 | Nurselytic

Nurselytic

ATI LPN

ATI LPN