PN ATI Capstone Maternal Newborn

Correct Answer: A

Rationale: Phototherapy is used to reduce bilirubin levels in newborns with jaundice. However, the intense light can cause damage to the newborn's corneas and retinas. The use of an eye mask protects the infant's eyes while allowing the therapy to proceed. Regular monitoring of the newborn's temperature and hydration status is also important, but the eye mask is a key protective measure.

Correct Answer: A

Rationale: When a client's membranes rupture, there is a risk that the umbilical cord could become compressed, affecting blood flow to the fetus. The nurse's priority action is to assess the fetal heart rate to ensure that the fetus is not in distress.

Correct Answer: B

Rationale: Nasal flaring can indicate respiratory distress and should be reported immediately for further evaluation.

Correct Answer: B

Rationale: Clients with phenylketonuria (PKU) must adhere to a strict low-phenylalanine diet to prevent neurological damage. A sliced apple and red grapes are low in phenylalanine, making them safe choices.

Correct Answer: D

Rationale: Calcium is vital during pregnancy for fetal bone development and to prevent maternal bone loss. The recommended daily intake should be increased to support these needs.