ATI PN Maternal Newborn Rn X1

Extract:

patient, exclusive breastfeeding, latching concerns

Question 1 of 5

Your patient who wants to exclusively breastfeed is afraid her baby isn't latching properly. To assist the mother you would (Select all that apply)

Correct Answer: A,B,E,F

Rationale: A: A lactation consultant provides expert guidance. B: Emotional support and partner involvement foster a supportive environment. E: Audible swallowing and comfort indicate effective latch. F: Proper positioning and latch techniques ensure successful breastfeeding. C and D are incorrect as they undermine exclusive breastfeeding and may cause discomfort.

Extract:

client, trial of labor for vaginal birth after cesarean (TOLAC)

Question 2 of 5

A nurse is caring for a client who wants to know if it is possible to have a trial of labor for a vaginal birth after a cesarean birth (TOLAC). Which of the following statements by the nurse is appropriate?

A. It is too soon for you to be worrying about that now. B. The primary consideration for a safe attempt at a vaginal birth after cesarean (VBAC) is what type of incision you had. C. There are so many variables and I don't have time to explain them all to you, so you will have to ask your provider later. D. A repeat cesarean section would be safer for both you and your baby.

Correct Answer: B

Rationale: The type of incision (e.g., low transverse vs. classical) determines the risk of uterine rupture during VBAC, making it a critical factor for TOLAC eligibility.

Extract:

client, 1 day postpartum, cesarean birth

Question 3 of 5

A nurse is caring for a client who is 1 day postpartum following a cesarean birth. To prevent thrombophlebitis, the nurse should include which of the following interventions in the client's plan of care?

A. Apply warm, moist soaks to the client's lower legs. B. Have the client ambulate frequently in the hallway. C. Keep the client on bed rest. D. Place pillows under the client's knees while she is resting in bed.

Correct Answer: B

Rationale: Frequent ambulation promotes venous return, reducing the risk of thrombophlebitis post-cesarean.

Extract:

patient, opioid use disorder, methadone, neonatal abstinence syndrome

Question 4 of 5

Your patient presents to labor and delivery with opioid use disorder and is taking methadone. The best treatment for her baby that will develop neonatal abstinence syndrome is:

A. Do not use even soft lullaby music or cuddler therapy for this neonate as it will increase stimuli. B. Use only pharmacological agents for withdrawal. C. Keep the baby and mother together, promoting bonding and providing support and resources for discharge. D. Separate the baby from the mother and tell the social worker to contact child protection services.

Correct Answer: C

Rationale: Keeping mother and baby together supports bonding and reduces NAS severity through breastfeeding and non-pharmacological interventions.

Extract:

client, active labor, variable decelerations of FHR

Question 5 of 5

A nurse is assisting in the care of a client who is in active labor. The nurse notes variable decelerations of the FHR. The nurse should identify which of the following as a cause of variable decelerations?

A. Polyhydramnios B. Fetal head compression C. Umbilical cord compression D. Maternal fever

Correct Answer: C

Rationale: Variable decelerations are caused by umbilical cord compression, reducing fetal blood flow.

ATI PN Maternal Newborn Rn X1 | Nurselytic

Nurselytic

ATI LPN

ATI LPN