PN ATI Capstone Maternal Newborn

Correct Answer: C

Rationale: If routine suctioning with a bulb syringe is ineffective, the next step is to use mechanical suction. This ensures that any obstruction in the airway is cleared. If the newborn's condition does not improve, chest compressions or further interventions may be needed.

Correct Answer: A

Rationale: Continuous abdominal pain and vaginal bleeding in a client with a history of cocaine use suggest abruptio placentae, where the placenta detaches from the uterus prematurely, posing serious risks to both mother and fetus.

Correct Answer: A

Rationale: Heavy bleeding and the passage of large clots after childbirth can indicate uterine atony. The nurse should first attempt to massage the fundus to stimulate uterine contractions and control the bleeding.

Correct Answer: B

Rationale: The nurse should inform the client that the nonstress test typically takes about 30 minutes and is used to assess fetal well-being by monitoring fetal heart rate in response to movements.

Correct Answer: C

Rationale: Pruritus is a common adverse effect of epidural anesthesia, often due to the opioids administered with the epidural. This can cause significant discomfort and may require treatment.