PN ATI Capstone Maternal Newborn

Correct Answer: C

Rationale: In cases of respiratory distress, the nurse should first suction the newborn's airway to clear any obstructions. This is a non-invasive procedure that can quickly improve breathing.

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.

Correct Answer: D

Rationale: The nurse should assist the client into the knee-chest position to relieve pressure on the umbilical cord. This position helps to prevent cord compression and improves fetal oxygenation.

Correct Answer: B

Rationale: A contraction duration of 100 seconds indicates potential uterine hyperstimulation, which can lead to fetal distress and decreased uterine perfusion. The nurse should discontinue the oxytocin infusion immediately to ensure the safety of both mother and fetus.

Correct Answer: A

Rationale: Ampicillin is the recommended antibiotic for treating group B streptococcus infections in pregnant women during labor to prevent neonatal infection.