ATI NR327 Maternal-
Newborn with
complete verified
solutions 2025
A nurse is performing a physical assessment of a newborn. Which of
the following actions should the nurse take? - answer Measure the
circumference of the newborn's head with a tape measure just
above the eyebrows
A nurse is caring for a client in active labor who has meconium
staining of the amniotic fluid. The nurse notes a reassuring fetal
heart rate (FHR) tracing from the external fetal monitor. Which of
the following actions should the nurse perform? - answer Prepare
equipment needed for newborn resuscitation
A nurse is caring for a client in active labor whose membranes have
ruptured. The fetal monitor tracing reveals late decelerations.
Which of the following actions should the nurse take first? - answer
Turn the client onto her left side
A nurse is caring for a primigravida client who is at 8 weeks
gestation with twins. The client states that even though she and her
husband planned this pregnancy, she is experiencing ambivalent
feelings about it. Which of the following responses should the nurse
make? - answer "These feelings are quite normal at the beginning
of pregnancy."
, A nurse in an antepartum clinic is caring for a client who is at 24
weeks gestation. Which of the following findings should the nurse
report to the provider? - answer Frequent headaches
A nurse is providing care to a client who is in labor. A fetal heart
tracing shows early decelerations. Which of the following actions
should the nurse take? - answer Continue to monitor the fetal
heart tracings
A nurse is explaining lactation suppression to a client whose
newborn will be bottle-fed. Which of the following client statements
indicates an understanding of the teaching? - answer "I should
wear a support bra for a few days."
The guardian of a 3-day-old female newborn tells the nurse that he
noticed a small amount of blood-tinged mucus discharge on the
newborn's labia. Which of the following responses should the nurse
make? - answer "The blood-tinged mucus is a result of
pseudomenstruation."
A nurse is teaching a client who is at 10 weeks gestation about an
abdominal ultrasound in the first trimester. Which of the following
pieces of information should the nurse include in the teaching? -
answer "You will need to have a full bladder during the
ultrasound."
A nurse is providing teaching for a postpartum client who is
breastfeeding. Which of the following pieces of information should
the nurse include in the teaching? - answer "Your milk supply will
noticeably increase in volume around the third or fourth day after
delivery."
A nurse is caring for a client who is in labor and received meperidine
for pain 1 hr prior to entering the second stage of labor. Which of
the following actions should the nurse take? - answer Assess the
newborn for respiratory depression
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