Questions 46

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ATI Maternal Newborn Care Exam 4A Questions

Extract:

A nurse is caring for a newborn immediately following delivery.


Question 1 of 5

After assuring a patent airway, which of the following actions should the nurse's priority?

Correct Answer: D

Rationale: Drying the newborn prevents hypothermia, a priority after ensuring a patent airway.

Extract:

A nurse on the postpartum unit is planning to delegate client care to an assistive personnel (AP).


Question 2 of 5

Which of the following tasks should the nurse plan to delegate to the AP?

Correct Answer: B

Rationale: Providing a sitz bath is a routine task that does not require clinical judgment and can be safely delegated to an AP. Checking vital signs for gestational hypertension, observing breast redness, and changing perineal pads involve assessments requiring nursing skills.

Extract:

Which of the following symptoms would be indicative of hypovolemic shock after giving birth? (select all that apply)


Question 3 of 5

skin color becomes ashen

Correct Answer: A,B,C

Rationale: Ashen skin, weakness/lightheadedness/nausea, and declining BP are signs of hypovolemic shock due to blood loss.

Extract:

A nurse is caring for a client 2 hr following a spontaneous vaginal delivery and notes that the client has saturated two perineal pads with blood for a 30-min period.


Question 4 of 5

Which of the following actions should the nurse take first?

Correct Answer: C

Rationale: Checking the fundus first assesses for uterine atony, a common cause of excessive bleeding.

Extract:

The fontanelle is triangular shaped and closes at around 2 months of age.


Question 5 of 5

The fontanelle is triangular shaped and closes at around 2 months of age

Correct Answer: D

Rationale: The posterior fontanelle, triangular and at the back of the head, closes around 2 months.

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