PN ATI Capstone Maternal Newborn

Correct Answer: C

Rationale: A bilirubin level of 4 mg/dL is elevated for a newborn and requires monitoring and potential intervention to prevent complications such as jaundice and kernicterus.

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.

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: True labor is characterized by regular contractions that increase in intensity and frequency. These contractions result in cervical dilation and effacement, indicating the onset of labor.

Correct Answer: C

Rationale: A bilirubin level of 4 mg/dL is elevated for a newborn and requires monitoring and potential intervention to prevent complications such as jaundice and kernicterus.