ATI PN Maternal Newborn Rn X1

Extract:

newborn, immediately following delivery

Question 1 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:

newborn, vacuum extraction, swelling on head

Question 2 of 5

A nurse is caring for a newborn who was delivered by vacuum extraction and has swelling on his head that crosses the suture line. The newborn's mother asks about the swelling on her newborn's head. Which of the following responses should the nurse make?

A. This is a cephalhematoma, which will resolve on its own in 3 to 5 days. B. This is erythema toxicum, which is a transient allergic reaction that causes edema in the skin. C. This is a caput succedaneum, which is a collection of fluid from pressure of the vacuum extractor. D. This is a Mongolian spot, which is found on many newborns.

Correct Answer: C

Rationale: Caput succedaneum is swelling from vacuum pressure, crossing suture lines, and resolves in days.

Extract:

patient, exclusive breastfeeding, latching concerns

Question 3 of 5

Your patient who wants to exclusively breastfeed is afraid her baby isn't latching properly. To assist the mother you would (Select all that apply)

A. Call the lactation consultant to visit the patient B. Encourage and support the mother's desire/intention and include the partner in the conversation C. Give the mother a bottle of formula to supplement D. Help the mother shove her nipple in the baby's mouth. E. Check for audible swallowing and a comfortable (non-painful) suck F. Assist with proper positioning and latch techniques

Correct Answer: A,B,E,F

Rationale: A: A lactation consultant provides expert guidance. B: Emotional support and partner involvement foster a supportive environment. E: Audible swallowing and comfort indicate effective latch. F: Proper positioning and latch techniques ensure successful breastfeeding. C and D are incorrect as they undermine exclusive breastfeeding and may cause discomfort.

Extract:

client, active labor, late decelerations on fetal monitor

Question 4 of 5

A nurse is assisting in the care of a client who is in active labor. The nurse notes late decelerations on the fetal monitor tracing. Which of the following actions should the nurse take FIRST?

A. Increase the infusion rate of the IV fluid. B. Elevate the client's legs. C. Administer oxygen via face mask. D. Position the client on her side.

Correct Answer: D

Rationale: Positioning the client on her side improves uterine blood flow, addressing late decelerations caused by uteroplacental insufficiency, and is the first action to take.

Extract:

client, Hispanic, labor and delivery

Question 5 of 5

A nurse is assisting with the admission of a client who is Hispanic to the labor and delivery unit. Which of the following practices should the nurse anticipate while caring for this client?

A. Absence of family members during labor B. Request to drink cold fluids immediately after delivery C. Practice of maternal fasting following the birth D. Desire to delay breastfeeding for several days

Correct Answer: B

Rationale: Hispanic clients may request cold fluids post-delivery to restore body balance, a cultural practice.

ATI PN Maternal Newborn Rn X1 | Nurselytic

Nurselytic

ATI LPN

ATI LPN