ATI maternal newborn unit 3 QUESTIONS
AND ANSWERS
1. A nurse is supporting a purchaser who is postpartum along with her first breastfeeding
experience. While the customer asks how a great deal of the nipple she should put into
the infant's mouth, which of the subsequent responses with the aid of the nurse is
appropaite? - ANSWER-you have to vicinity your nipple and a number of the areola
into her mouth.
2. A nurse is supporting a nurse midwife in inspecting a client who's a primigravida at 42
weeks of gestation and states that she thinks she is in hard work. Which of the
subsequent findings affirm that the customer is in labor? - ANSWER-cervical dilation
3. a nurse is helping within the care of a customer following an aminotomy who's now
within the energetic section of the primary stage of exertions. Which of the following
actions need to the nurse take? - ANSWER-encourage the patron to drain the
bladder every 2 hours.
4. A nurse is assisting within the care of a patron who had a vaginal delivery 2 hr in the
past. Which of the following actions have to the nurse take? - ANSWER--document
fundal top.
-take a look at the lochia all through palpation of fundus
-decide whether the fundus is midline.
5. A nurse is supporting in the care of a consumer who's experiencing sore nipples from
breastfeeding. Which of the subsequent movements ought to the nurse take? -
ANSWER-inspire the patron to exchange the newborn's position with each feeding
6. a nurse is supporting within the care of a consumer who's in energetic exertions. The
nurse notes late decelerations at the fetal monitoring tracing. Which of the following
movements ought to the nurse take first? - ANSWER-position the patron on her side.
7. A nurse is assisting within the care of a customer who's in active exertions. The nurse
notes variable decelerations of the FHR. The nurse ought to pick out which of the
subsequent as a cause of variable decelerations? - ANSWER-umbilical wire
compression.
8. A nurse is assisting within the care of a client who is in exertions. The health practitioner
documents the vaginal exam as 3cm 30% and -1. The nurse evaluates this
documentation to mean which of the subsequent? - ANSWER-the cervix is dilated 3
cm, it's miles effaced 30% and the supplying component is 1 cm above the ischial
spines.
9. A nurse is assisting in the care of a client who is inside the 2nd stage of labor. Which of
the following findings should the nurse document to the issuer? - ANSWER-uterine
contractions lasting 2 min
10.a nurse is assisting with the admin of a purchaser who's at 38 weeks of gestation and
has excessive preeclampsia. While accumulating statistics from the consumer the nurse
should count on which of the subsequent findings? - ANSWER-headache
, 11.a nurse is helping with the admission of a patron who's Hispanic to the labor and
shipping unit. Which of the following practices should the nurse expect while worrying for
this client? - ANSWER-preference to postpone breastfeeding for several days.
12.A nurse is assisting with the admission of a purchaser who is in preterm exertions at 30
weeks of gestation and has a brand new prescription for betamethasone. Which of the
subsequent statements have to the nurse make? - ANSWER-the purpose of this
remedy is to enhance fetal lung adulthood.
13.A nurse is helping with the care of a customer who had an epidural anesthesia block at
some point of the early levels of hard work. The client's blood pressure is eighty/forty
and fetal heart recording a hundred and forty/min. Which of the following actions should
the nurse take first? - ANSWER-region the patron in a lateral function.
14.A nurse is helping with the care of a consumer who's experiencing preterm hard work
and is scheduled to go through amniocentesis. The patron needs an amniocentesis to
decide which of the following findings? - ANSWER-maturity of lungs
15.a nurse is assisting with the care of a patron who's in active labor at 39 weeks of
gestation. The nurse locates the fetal heart tones above the purchaser's umbilicus at
midline. The nurse should suspect that the fetus is in which of the subsequent positions?
- ANSWER-Frank Breech
16.a nurse is supporting with the care of a patron who's in early labor with intact
membranes and a temperature of 102. After notifying the company, which of the
subsequent actions have to the nurse take? - ANSWER-administer acetaminophen
orally.
17.A nurse is supporting with the care of a patron who's in hard work and has the urge to
push. Which of the following instructions should the nurse give the purchaser? -
ANSWER-take a deep, cleansing breath earlier than and after every contraction.
18.A nurse is assisting with the care of a purchaser who is in hard work. At once after the
shipping of a new child which of the following movements must the nurse take first? -
ANSWER-dry the new child
19.a nurse is supporting with the care of a consumer who's in exertions. The client's hard
work is hard and prolonged, and she reports severe backache. Which of the subsequent
elements is a contributing reason of difficult, extended labor? - ANSWER-fetal function
is continual occiput posterior.
20.A nurse is supporting with the care of a purchaser who's in hard work. Which of the
subsequent nursing actions reflects utility of the gate manage theory of pain? -
ANSWER-rub down the purchaser's returned
21.a nurse is supporting with the care of a purchaser who's within the first stage of hard
work. The nurse observes the umbilical twine protruding from the vagina. Which of the
subsequent moves ought to the nurse take first? - ANSWER-region the consumer in a
knee-chest or Trendelenburg role.
22.A nurse is supporting with the care of a client who's multigravida and in energetic hard
work with 7 cm of cervical dilation and 100% effacement. The fetus is at 1+ station, and
the client's amniotic membranes are intact. The client all at once states that she needs to
push. Which of the subsequent is the precise nursing response? - ANSWER-have the
consumer pant in the course of the next few contractions.
AND ANSWERS
1. A nurse is supporting a purchaser who is postpartum along with her first breastfeeding
experience. While the customer asks how a great deal of the nipple she should put into
the infant's mouth, which of the subsequent responses with the aid of the nurse is
appropaite? - ANSWER-you have to vicinity your nipple and a number of the areola
into her mouth.
2. A nurse is supporting a nurse midwife in inspecting a client who's a primigravida at 42
weeks of gestation and states that she thinks she is in hard work. Which of the
subsequent findings affirm that the customer is in labor? - ANSWER-cervical dilation
3. a nurse is helping within the care of a customer following an aminotomy who's now
within the energetic section of the primary stage of exertions. Which of the following
actions need to the nurse take? - ANSWER-encourage the patron to drain the
bladder every 2 hours.
4. A nurse is assisting within the care of a patron who had a vaginal delivery 2 hr in the
past. Which of the following actions have to the nurse take? - ANSWER--document
fundal top.
-take a look at the lochia all through palpation of fundus
-decide whether the fundus is midline.
5. A nurse is supporting in the care of a consumer who's experiencing sore nipples from
breastfeeding. Which of the subsequent movements ought to the nurse take? -
ANSWER-inspire the patron to exchange the newborn's position with each feeding
6. a nurse is supporting within the care of a consumer who's in energetic exertions. The
nurse notes late decelerations at the fetal monitoring tracing. Which of the following
movements ought to the nurse take first? - ANSWER-position the patron on her side.
7. A nurse is assisting within the care of a customer who's in active exertions. The nurse
notes variable decelerations of the FHR. The nurse ought to pick out which of the
subsequent as a cause of variable decelerations? - ANSWER-umbilical wire
compression.
8. A nurse is assisting within the care of a client who is in exertions. The health practitioner
documents the vaginal exam as 3cm 30% and -1. The nurse evaluates this
documentation to mean which of the subsequent? - ANSWER-the cervix is dilated 3
cm, it's miles effaced 30% and the supplying component is 1 cm above the ischial
spines.
9. A nurse is assisting in the care of a client who is inside the 2nd stage of labor. Which of
the following findings should the nurse document to the issuer? - ANSWER-uterine
contractions lasting 2 min
10.a nurse is assisting with the admin of a purchaser who's at 38 weeks of gestation and
has excessive preeclampsia. While accumulating statistics from the consumer the nurse
should count on which of the subsequent findings? - ANSWER-headache
, 11.a nurse is helping with the admission of a patron who's Hispanic to the labor and
shipping unit. Which of the following practices should the nurse expect while worrying for
this client? - ANSWER-preference to postpone breastfeeding for several days.
12.A nurse is assisting with the admission of a purchaser who is in preterm exertions at 30
weeks of gestation and has a brand new prescription for betamethasone. Which of the
subsequent statements have to the nurse make? - ANSWER-the purpose of this
remedy is to enhance fetal lung adulthood.
13.A nurse is helping with the care of a customer who had an epidural anesthesia block at
some point of the early levels of hard work. The client's blood pressure is eighty/forty
and fetal heart recording a hundred and forty/min. Which of the following actions should
the nurse take first? - ANSWER-region the patron in a lateral function.
14.A nurse is helping with the care of a consumer who's experiencing preterm hard work
and is scheduled to go through amniocentesis. The patron needs an amniocentesis to
decide which of the following findings? - ANSWER-maturity of lungs
15.a nurse is assisting with the care of a patron who's in active labor at 39 weeks of
gestation. The nurse locates the fetal heart tones above the purchaser's umbilicus at
midline. The nurse should suspect that the fetus is in which of the subsequent positions?
- ANSWER-Frank Breech
16.a nurse is supporting with the care of a patron who's in early labor with intact
membranes and a temperature of 102. After notifying the company, which of the
subsequent actions have to the nurse take? - ANSWER-administer acetaminophen
orally.
17.A nurse is supporting with the care of a patron who's in hard work and has the urge to
push. Which of the following instructions should the nurse give the purchaser? -
ANSWER-take a deep, cleansing breath earlier than and after every contraction.
18.A nurse is assisting with the care of a purchaser who is in hard work. At once after the
shipping of a new child which of the following movements must the nurse take first? -
ANSWER-dry the new child
19.a nurse is supporting with the care of a consumer who's in exertions. The client's hard
work is hard and prolonged, and she reports severe backache. Which of the subsequent
elements is a contributing reason of difficult, extended labor? - ANSWER-fetal function
is continual occiput posterior.
20.A nurse is supporting with the care of a purchaser who's in hard work. Which of the
subsequent nursing actions reflects utility of the gate manage theory of pain? -
ANSWER-rub down the purchaser's returned
21.a nurse is supporting with the care of a purchaser who's within the first stage of hard
work. The nurse observes the umbilical twine protruding from the vagina. Which of the
subsequent moves ought to the nurse take first? - ANSWER-region the consumer in a
knee-chest or Trendelenburg role.
22.A nurse is supporting with the care of a client who's multigravida and in energetic hard
work with 7 cm of cervical dilation and 100% effacement. The fetus is at 1+ station, and
the client's amniotic membranes are intact. The client all at once states that she needs to
push. Which of the subsequent is the precise nursing response? - ANSWER-have the
consumer pant in the course of the next few contractions.