PN ATI Capstone Maternal Newborn

Correct Answer: C

Rationale: The first action is to massage the client's fundus, as uterine atony is a common cause of postpartum hemorrhage, and this intervention can help stimulate uterine contraction and reduce bleeding.

Correct Answer: B

Rationale: The most common side effect of an epidural is hypotension, which can compromise placental perfusion. Monitoring the client's blood pressure is the priority to ensure maternal and fetal well-being.

Correct Answer: D

Rationale: A platelet count of 140,000/mm� is at the lower end of the normal range but can be concerning in pregnancy, especially if there are signs of thrombocytopenia or bleeding.

Correct Answer: A

Rationale: Gestational diabetes can result in fetal macrosomia, a condition where the baby grows larger than normal due to excess glucose in the mother's blood. This increases the risk of complications during delivery.

Correct Answer: D

Rationale: The client should check for the string each month after menstruation to ensure the IUD is in place. Regular checks can help identify any displacement.