ATI PN Maternal Newborn Rn X1

Extract:

newborn, mucus bubbling post-birth

Question 1 of 5

A nurse is assisting in the care of a newborn immediately following birth. The nurse notes mucus bubbling out of the newborn's mouth and nose. Which of the following actions should the nurse take first?

Correct Answer: B

Rationale: Suctioning the mouth first prevents aspiration and clears the airway effectively.

Extract:

client, 4 hr postpartum, lochia rubra, fundus midline and firm

Question 2 of 5

A nurse is caring for a client who is 4 hr postpartum. The nurse finds a small amount of lochia rubra on the client's perineal pad. The fundus is midline and firm at one fingerbreadth above the umbilicus. Which of the following actions should the nurse take?

A. Increase the rate of the IV fluids. B. Assist the client to ambulate. C. Check for blood under the client's buttock. D. Perform fundal massage.

Correct Answer: C

Rationale: Checking for blood under the buttock ensures no hidden bleeding, as pads may not capture all lochia, despite a firm, midline fundus.

Extract:

client, 36 weeks gestation, suspected placenta previa

Question 3 of 5

A nurse is caring for a client who is at 36 weeks of gestation and has suspected placenta previa. Which of the following findings should the nurse expect?

A. Severe abdominal pain with increasing fundal height B. A large amount of bright red vaginal bleeding without pain C. Intermittent abdominal pain following passage of bloody mucus D. Abdominal pain with minimal red vaginal bleeding

Correct Answer: B

Rationale: Placenta previa typically causes painless, bright red vaginal bleeding due to placental positioning over the cervical os.

Extract:

neonate, delayed cord clamping

Question 4 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, 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 corrects uterine displacement, addressing the boggy fundus and excessive lochia.

ATI PN Maternal Newborn Rn X1 | Nurselytic

Nurselytic

ATI LPN

ATI LPN