Questions 48

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ATI OB Maternal Newborn Nurs 4650 Questions

Extract:

Client undergoing an amniotomy


Question 1 of 5

A nurse is caring for a client who is to undergo an amniotomy. Which of the following is the priority nursing action following this procedure?

Correct Answer: D

Rationale: Assessing fetal heart rate post-amniotomy detects complications like cord prolapse, ensuring fetal well-being.

Extract:

Woman contemplating pregnancy


Question 2 of 5

A nurse is instructing a woman who is contemplating pregnancy about nutritional needs. To reduce the risk of giving birth to a newborn who has a neural tube defect, which of the following information should the nurse include in the teaching?

Correct Answer: C

Rationale: Folic acid reduces neural tube defect risk by supporting early neural tube formation in the fetus.

Extract:

Client at 40 weeks gestation in active labor with 6 cm cervical dilation, 100% effacement, BP 82/52 mm Hg


Question 3 of 5

A nurse is caring for a client who is at 40 weeks gestation and is in active labor. The client has 6 cm of cervical dilation and 100% cervical effacement. The nurse obtains the client's blood pressure reading as 82/52 mm Hg. Which of the following nursing interventions should the nurse perform?

Correct Answer: A

Rationale: Low blood pressure suggests supine hypotensive syndrome; turning the client to her side relieves uterine pressure on the vena cava, improving blood flow.

Extract:

New mother concerned about newborn's eyes crossing


Question 4 of 5

A nurse is caring for a new mother who is concerned that her newborn's eyes cross. Which of the following statements is a therapeutic response by the nurse?

Correct Answer: A

Rationale: Newborn eye crossing is normal due to immature eye muscle control, typically resolving by 3 months.

Extract:

Newborn 1 minute after delivery with slow, weak cry, some flexion of extremities, grimace to suctioning, pink body, blue extremities


Question 5 of 5

A nurse is caring for a newborn and calculating the Apgar score at 1 minute after delivery, the following findings are noted: Slow, weak cry, Some flexion of extremities, Grimace in response to suctioning at the nares, Body pink in color, Blue extremities. Calculate the newborn's Apgar score.

Correct Answer: 5

Rationale: Apgar score: Heart rate (1, slow), respiratory effort (1, weak cry), muscle tone (1, some flexion), reflex irritability (1, grimace), color (1, acrocyanosis) totals 5.

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