Questions 68

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ATI Maternal Newborn Final Exam moitoso Questions

Extract:

Nurse hears fetal heart rate dropping, interprets monitor strip.


Question 1 of 5

A nurse is walking by a client's room and can hear the fetal heart rate dropping. The nurse observes the heartbeat and interprets the monitor strip as indicating which of the following?

Correct Answer: B

Rationale: A sudden drop in fetal heart rate suggests variable decelerations, typically caused by umbilical cord compression.

Extract:

25-year-old, Gravida 1 Para 1, breastfeeding, newborn with 5% weight loss, full warm breasts, correct breastfeeding techniques, feeding 8-12 times/day.


Question 2 of 5

A nurse is caring for a 25-year-old postpartum female client who had a spontaneous vaginal birth at 39 weeks of gestation in the postpartum unit. Which of the following statements by the client indicates an understanding of the discharge teaching?

Correct Answer: B,E,F

Rationale: Feeding 8-12 times/day, expecting stool color change, and recognizing milk coming in show understanding of breastfeeding teaching.

Extract:

28-year-old, Gravida 3 Para 2, chronic hypertension, gestational diabetes, vacuum-assisted vaginal delivery, boggy fundus, heavy lochia, oxytocin infusion, BP 144/92, temperature 100.4°F.


Question 3 of 5

A nurse is caring for a 28-year-old female client in the fourth stage of labor after a vaginal delivery in the labor and delivery unit. Complete the following sentence using the list of options: The client is at highest risk for developing ___ due to ___.

Correct Answer: A

Rationale: Heavy lochia with clots indicates postpartum hemorrhage risk, likely due to uterine atony.

Extract:

Postpartum client whose newborn's maternal grandmother was born deaf, asking how to tell if her newborn hears well.


Question 4 of 5

A nurse is caring for a client who is postpartum. The client tells the nurse that the newborn's maternal grandmother was born deaf and asks how to tell if her newborn hears well. Which of the following statements should the nurse make?

Correct Answer: C

Rationale: Routine hearing screenings using objective tests are the most reliable method to assess newborn hearing, ensuring accurate detection of potential issues.

Extract:

28-year-old, postpartum day 2, breastfeeding every 3-4 hours, nipple discomfort, no nipple trauma, breasts soft, newborn voided twice, three meconium stools.


Question 5 of 5

A nurse is caring for a 28-year-old postpartum female client in the postpartum unit. Which of the following statements by the client indicates an understanding of the discharge teaching?

Correct Answer: B,D,F

Rationale: Feeding 8-12 times/day, expecting stool color change, and recognizing milk coming in indicate understanding of breastfeeding teaching.

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