PN ATI Capstone Maternal Newborn

Correct Answer: D

Rationale: The client's statement correctly reflects that Rh immune globulin is administered after delivery to prevent sensitization in future pregnancies, especially if the baby is Rh-positive.

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: A

Rationale: Contractions that are too frequent or prolonged can lead to uterine hyperstimulation, which can compromise fetal oxygenation. The nurse should stop the oxytocin infusion to reduce contraction frequency and intensity.

Correct Answer: B

Rationale: An excessive high-pitched cry is a classic sign of neonatal abstinence syndrome, indicating withdrawal from substances such as methadone. Other signs may include irritability and tremors.

Correct Answer: B

Rationale: Moderate tremors of the extremities are a common sign of opioid withdrawal in newborns. Other signs may include irritability, feeding difficulties, and gastrointestinal disturbances.