Questions 68

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ATI Maternal Newborn Final Exam moitoso Questions

Extract:

Client who experienced a precipitous labor.


Question 1 of 5

You admitted a client who experienced a precipitous labor. What is the highest concern for maternal complication related to this type of labor?

Correct Answer: B

Rationale: Precipitous labor increases the risk of postpartum hemorrhage due to rapid, forceful contractions that may lead to uterine atony, causing excessive bleeding post-delivery.

Extract:

Client 2 hr postpartum, received spinal anesthesia for cesarean birth.


Question 2 of 5

A nurse is assessing a client who is 2 hr postpartum and received spinal anesthesia for a cesarean birth. Which of the following findings requires immediate intervention by the nurse?

Correct Answer: A

Rationale: A respiratory rate of 10/min suggests possible respiratory depression from spinal anesthesia, requiring immediate intervention.

Extract:

Client being educated on breastfeeding positions.


Question 3 of 5

A nurse is educating a client on breastfeeding positions. Which of the following should the nurse discuss?

Correct Answer: B

Rationale: The cradle position is effective for breastfeeding, supporting proper latching and comfort.

Extract:

28-year-old, 38 weeks gestation, decreased fetal movement, FHR 140 bpm, moderate variability, no accelerations or decelerations.


Question 4 of 5

A nurse is caring for a 28-year-old pregnant female client at 38 weeks gestation who arrived to the OB triage unit with complaints of decreased fetal movement. The nurse assesses the NonStress Test (NST) and documents the results as ___. The nurse contacts the provider and reports the NST results. The nurse anticipates an order for a ___.

Correct Answer: A

Rationale: A non-reactive NST (no accelerations) prompts a biophysical profile to further assess fetal well-being.

Extract:

Newborn immediately following a scheduled cesarean delivery.


Question 5 of 5

A nurse is assessing a newborn immediately following a scheduled cesarean delivery. Which of the following assessments is the nurse's priority?

Correct Answer: B

Rationale: Respiratory distress is the priority due to the increased risk of transient tachypnea or other respiratory issues in cesarean deliveries, requiring immediate assessment.

Similar Questions

A client arrives at OB triage with complaints of decreased fetal movement for the past 24 hours. The client states, 'I see the high-risk clinic because I have chronic hypertension and gestational diabetes.' The nurse applies the external fetal monitors and identifies a fetal heart rate baseline of 120 bpm, absent variability, no accelerations, and recurrent late decelerations. What fetal heart rate category would the nurse communicate to the provider?
A 38-year-old multigravida returns to the clinic for a routine prenatal visit at 36 weeks gestation. Assessment findings include: blood pressure 140/90 mm Hg; pulse, 80 beats/min; respiratory rate, 16 breaths/min. The nurse suspects preeclampsia. What additional finding would the nurse assess for?
A nurse is walking by a client's room and can hear the fetal heart{OR} observes late decelerations on the monitor strip and interprets them as indicating which of the following?
A nurse in a prenatal clinic is caring for a client who is pregnant and asks the nurse for her estimated date of birth (EDB). The client's last menstrual period began on October 17. What is the client's EDB?
A client, at 6 weeks gestation, arrives at the OB clinic for her initial visit and requests to hear the fetal heartbeat. What should the nurse include in the teaching regarding cardiac development?

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