ATI PN Maternal Newborn Rn X1

Extract:

neonate, delayed cord clamping

Question 1 of 5

Delayed cord clamping provides many benefits to the neonate and is considered a standard of care. The benefits include improvement in transitional circulation and..

Correct Answer: C

Rationale: Delayed cord clamping reduces the risk of necrotizing enterocolitis and intraventricular hemorrhage in preterm infants by improving circulation and oxygen delivery.

Extract:

client, 4 hr postpartum, lochia rubra, fundus midline and firm

Question 2 of 5

A nurse is caring for a client who is 4 hr postpartum. The nurse finds a small amount of lochia rubra on the client's perineal pad. The fundus is midline and firm at one fingerbreadth above the umbilicus. Which of the following actions should the nurse take?

A. Increase the rate of the IV fluids. B. Assist the client to ambulate. C. Check for blood under the client's buttock. D. Perform fundal massage.

Correct Answer: C

Rationale: Checking for blood under the buttock ensures no hidden bleeding, as pads may not capture all lochia, despite a firm, midline fundus.

Extract:

client, immediate postoperative period, ectopic pregnancy, salpingostomy

Question 3 of 5

A nurse is caring for a client in the immediate postoperative period following removal of an ectopic pregnancy via salpingostomy. For which of the following indications should the nurse administer Rho(D) immune globulin?

A. The client is Rh negative. B. The client has had significant blood loss during the procedure. C. The client has previously given birth to an Rh-negative infant. D. The client has expressed a desire to conceive again.

Correct Answer: A

Rationale: Rho(
D) immune globulin is administered to Rh-negative clients to prevent sensitization from fetal-maternal blood mixing during ectopic pregnancy.

Extract:

baby, shoulder dystocia, turtle sign

Question 4 of 5

The baby's head is delivered at 0900. The shoulders are not delivered and you notice a turtle sign. Interventions to relieve a dystocia include (Select all that apply):

A. Enter maneuvers (wood screw or rubin) by physician B. Put mother on all fours (gaskin) C. Suprapubic pressure by the nurse D. McRoberts by the nurse E. Delivery of the anterior arm by the physician F. Fundal pressure by the nurse

Correct Answer: A,B,C,D,E

Rationale: A, B, C, D, E: These maneuvers relieve shoulder dystocia by repositioning or reducing shoulder impaction. F is contraindicated as it worsens impaction.

Extract:

newborn, mother positive for hepatitis B surface antigen

Question 5 of 5

A nurse is caring for a newborn whose mother is positive for the hepatitis B surface antigen. Which of the following treatments should the infant receive?

A. The hepatitis B vaccine monthly until the newborn tests negative for the hepatitis B surface antigen B. The hepatitis B vaccine at 24 hr followed by hepatitis B immune globulin every 12 hr for 3 days C. Hepatitis B immune globulin and the hepatitis B vaccine within 12 hr of birth D. Hepatitis B immune globulin at 1 week followed by the hepatitis B vaccine monthly for 6 months

Correct Answer: C

Rationale: Administering both hepatitis B immune globulin and the vaccine within 12 hours of birth provides immediate protection and initiates long-term immunity against hepatitis B.

ATI PN Maternal Newborn Rn X1 | Nurselytic

Nurselytic

ATI LPN

ATI LPN