Questions 48

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ATI RN Test Bank

ATI Custom Maternal Newborn Questions

Extract:

Client 2 hours postpartum, vaginal birth


Question 1 of 5

A nurse is caring for a client who is 2 hours postpartum following a vaginal birth. Which of the following findings indicates the client's bladder is distended?

Correct Answer: B

Rationale: A fundus palpable to the right of midline suggests a distended bladder, which can displace the uterus from its normal position.

Extract:

Newborn immediately after birth


Question 2 of 5

The priority nursing care of the newborn immediately after birth includes all except:

Correct Answer: D

Rationale: Announcement of the delivery is not a priority in nursing care of the newborn immediately after birth. While it may be a joyful moment for the parents and family, it does not affect the health and well-being of the newborn.
Therefore, it can be done later after the essential newborn care has been completed.

Extract:

Woman in labor, vacuum extraction


Question 3 of 5

A maternal indication for the use of vacuum extraction is

Correct Answer: A

Rationale: Maternal exhaustion indicates vacuum extraction to assist delivery when the mother cannot push effectively, reducing fatigue and distress.

Extract:

Newborn 1 hour after birth


Question 4 of 5

The nurse completes the initial assessment of a newborn. Which finding would lead the nurse to suspect that the newborn is experiencing difficulty with oxygenation?

Correct Answer: C

Rationale: Nasal flaring indicates difficulty with oxygenation, as it is a compensatory mechanism to increase airflow in respiratory distress.

Extract:

Client in labor, external fetal monitor, late decelerations


Question 5 of 5

A nurse is caring for a client who is in labor and has an external fetal monitor. The nurse observes late decelerations on the monitor strip and interprets them as indicating which of the following?

Correct Answer: A

Rationale: Late decelerations indicate uteroplacental insufficiency, where reduced placental blood flow during contractions causes fetal hypoxia.

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