Questions 75

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ATI RN Maternal Newborn Online Practice 2019 B with NGN Questions

Extract:

Client in labor with external fetal monitor, late decelerations observed


Question 1 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: Late decelerations indicate uteroplacental insufficiency, where reduced blood flow to the fetus during contractions causes a drop in fetal heart rate, requiring intervention.

Rationale:

Extract:

Newborn undergoing phototherapy for hyperbilirubinemia


Question 2 of 5

A nurse is caring for a newborn who is undergoing phototherapy to treat hyperbilirubinemia. Which of the following actions should the nurse take?

Correct Answer: Covering the newborn's eyes protects them from phototherapy light, preventing potential retinal damage, a critical action during treatment.

Rationale:

Extract:

Client in labor, fetus in right occiput posterior position, dilated to 8 cm, reports back pain


Question 3 of 5

A nurse is caring for a client who is in labor and whose fetus is in the right occiput posterior position. The client is dilated to 8 cm and reports back pain. Which of the following actions should the nurse take?

Correct Answer: Applying sacral counterpressure relieves back pain caused by the fetus's occiput posterior position, which presses against the sacrum during contractions.

Rationale:

Extract:

Client who is 3 days postpartum


Question 4 of 5

A nurse is planning discharge for a client who is 3 days postpartum. Which of the following nonpharmacological interventions should the nurse include in the plan of care for lactation suppression?

Correct Answer: Applying cabbage leaves reduces engorgement and suppresses lactation, a proven nonpharmacological method for clients not breastfeeding.

Rationale:

Extract:

Postpartum client


Question 5 of 5

A nurse is teaching a postpartum client about steps the nurses will take to promote the security and safety of the client's newborn. Which of the following statements should the nurse make?

Correct Answer: Staff wearing photo identification badges ensures only authorized personnel handle the newborn, enhancing security and reassuring the client.

Rationale:

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