Questions 66

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ATI Maternal Newborn Final Exam Questions

Extract:

A nurse is teaching a newborn's parent how to care for the umbilical cord stump.


Question 1 of 5

Which of the following instructions should the nurse include?

Correct Answer: B

Rationale: Sponge baths keep the umbilical cord stump dry, promoting healing, unlike petroleum jelly, diaper covering, or daily washing, which can increase infection risk.

Extract:

A nurse on a labor unit is admitting a client who reports painful contractions. The nurse determines that the contractions have a duration of 1 minute and a frequency of 3 minutes. The nurse obtains the following vital signs: fetal heart rate 130/min, maternal heart rate 128/min, and maternal blood pressure 92/54 mm Hg.


Question 2 of 5

Which of the following is the priority action for the nurse to take?

Correct Answer: B

Rationale: Positioning with one hip elevated addresses low blood pressure (92/54 mm Hg), improving perfusion, unlike notification, voiding, or pain medication, which are secondary.

Extract:

A nurse observes that a newborn has a pink trunk and head, bluish hands and feet, and flexed extremities 5 min after delivery. He has a weak and slow cry, a heart rate of 130/min, and cries in response to suctioning.


Question 3 of 5

The nurse should document what Apgar score for this infant?

Correct Answer: A

Rationale: The Apgar score is 8: appearance (1, pink body, blue extremities), pulse (2, >100/min), grimace (2, cries to suctioning), activity (2, flexed extremities), respiration (1, weak cry), indicating good health.

Extract:

A nurse is assessing a newborn who was born at 42.5 weeks of gestation.


Question 4 of 5

Which of the following findings should the nurse expect?

Correct Answer: C

Rationale: Post-term newborns often have dry, cracked skin due to prolonged gestation and reduced vernix, unlike increased fat, scant hair, or copious vernix.

Extract:

A nurse is caring for a client who is in labor and has an epidural anesthesia block. The client's blood pressure is 80/40 mm Hg, and the fetal heart rate is 140/min.


Question 5 of 5

Which of the following is the priority nursing action?

Correct Answer: C

Rationale: Placing the client in a lateral position is the priority for hypotension post-epidural, improving venous return and uteroplacental perfusion, unlike leg elevation, notification, or monitoring.

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