ATI LPN
PN ATI Capstone Maternal Newborn Questions
Question 1 of 5
A nurse is caring for a newborn who has respiratory distress. Which of the following actions should the nurse take first?
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.
Question 2 of 5
A postpartum client's fundus is firm, 3 cm above the umbilicus and displaced to the right. Which of the following interventions should the nurse take?
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.
Question 3 of 5
A nurse is assessing a client 2 hours after a vaginal delivery and notes that the client's uterus is boggy and displaced to the right. Which of the following interventions should the nurse perform first?
Correct Answer: A
Rationale: A boggy and displaced uterus is often a sign of bladder distention, which can prevent the uterus from contracting effectively. The priority intervention is to assist the client to void, which will allow the uterus to return to midline and become firm.
Question 4 of 5
Prior to an amniocentesis, what action by the client will need to be completed?
Correct Answer: B
Rationale: Before an amniocentesis, the client should empty her bladder to reduce the risk of bladder puncture during the procedure. This is especially important in early pregnancy.
Question 5 of 5
A nurse is providing teaching to a client who is at 34 weeks of gestation and is scheduled for a nonstress test. Which of the following statements should the nurse plan to make?
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.
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