PN ATI Capstone Maternal Newborn

Correct Answer: B

Rationale: Moderate tremors of the extremities are a common sign of opioid withdrawal in newborns. Other signs may include irritability, feeding difficulties, and gastrointestinal disturbances.

Correct Answer: A

Rationale: Encouraging the mother to breastfeed is appropriate, as breastfeeding can quickly raise blood glucose levels in newborns. A level of 45 mg/dL is often acceptable but should be monitored closely.

Correct Answer: D

Rationale: After a cesarean birth, the client should limit physical activity, including stair climbing and lifting, to allow the incision to heal. Supporting the abdomen with a pillow when coughing or sneezing can also reduce discomfort and protect the incision.

Correct Answer: B

Rationale: Progesterone causes relaxation of the smooth muscles in the body, including the cardiac sphincter. This allows stomach acid to reflux into the esophagus, causing heartburn, especially during pregnancy.

Correct Answer: C

Rationale: Displacement of the uterus from the midline is often a sign of bladder distention. A full bladder can prevent the uterus from contracting properly, which could increase the risk of postpartum hemorrhage. The nurse should assist the client to void and then reassess the position and firmness of the fundus to ensure appropriate uterine contraction.