ATI PN Maternal Newborn Rn X1 | Nurselytic

Questions 47

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ATI PN Maternal Newborn Rn X1 Questions

Extract:

newborn, umbilical cord


Question 1 of 5

A nurse is caring for a newborn. How many blood vessels should the nurse expect to observe in the newborn's umbilical cord?

Correct Answer: D

Rationale: The umbilical cord typically contains two arteries and one vein, which the nurse should confirm to ensure no anomalies.

Extract:

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


Question 2 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 37.7°C (100°F), pulse rate 88/min, respiratory rate 18/min. Which of the following actions should the nurse perform?

Correct Answer: A

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

Extract:

newborn, immediately following delivery


Question 3 of 5

A nurse is caring for a newborn immediately following delivery. Which of the following actions should be the nurse's priority in the resuscitation of this neonate?

Correct Answer: D

Rationale: Drying and stimulating the newborn ensures airway patency and thermoregulation, critical initial steps in neonatal resuscitation.

Extract:

patient, magnesium sulfate, preterm labor, 1 gram/hour


Question 4 of 5

Your patient is receiving magnesium sulfate for neuroprotection and preterm labor at 1 gram/hour. The most concerning vital sign below is:

Correct Answer: B

Rationale: A respiratory rate of 9 indicates potential magnesium toxicity, requiring immediate cessation of the infusion and administration of calcium gluconate.

Extract:

client, vaginal birth 2 hours ago


Question 5 of 5

A nurse is reviewing the medical record of a client who experienced a vaginal birth 2 hours ago. The nurse should identify that which of the following findings places the client at risk for a postpartum hemorrhage?

Correct Answer: A

Rationale: Precipitous birth increases the risk of uterine atony, a major cause of postpartum hemorrhage due to rapid delivery.

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