1. A nurse on the postpar- b. amount of lochia
tum unit is caring for a pt.
when using the ABCs approach to client care, the nurse should
following a cesarean birth.
place the priority in the immediate postpartum period on assessing
Which of the following as-
the amount of postpartum lochia. the greatest risk to the client is
sessments is the nurse's
bleeding and postpartum hemorrhage.
priority?
a. parent-child attachment
b. amount of lochia
c. patency of the IV
catheter
d. quality and quantity of
urine
2. a nurse is caring for a a. apply sacral counter pressure
client who is in labor
the nurse should apply sacral counter pressure to assist in relieving
and whose fetus is in the
back labor pain related to fetal posterior position
right occiput posterior po-
sition. the client is dilated b. the nurse should perform TENS during the first stage of labor.
to 8cm and reports back
pain. which of the following
c. the nurse should transition a client to pattern-paced breathing
actions should the nurse (TENS)
take?
a. apply sacral counter
pressure
b. perform trancutaneous
electrical nerve stimulation
, ATI Maternal Newborn Assessment A Study Guide Test.
during this stage of labor.
d. The nurse should teach the client about
biofeedback during the prenatal period for it
to be ettective during labor.
, ATI Maternal Newborn Assessment A Study Guide Test.
c. initiate slow-paced
breathing
d. assist with biofeedback
3. a nurse is demonstrating a. wipe the newborn's eyes from inner canthus outward
to a client how to bathe
her newborn. in which or- c. wash the newborn's neck by lifting the newborn's chin
der should the nurse per-
d. cleanse the skin around the newborn's umbilical stump
form the following actions
b. wash the newborn's legs and feet
a. wipe the newborn's eyes
from inner canthus out-
e. clean the newborn's diaper area
ward
The nurse should demonstrate how to bathe a newborn by using a
b. wash the newborn's legs
head to toe, clean to dirty, approach.
and feet
c. wash the newborn's neck
by lifting the newborn's
chin
d. cleanse the skin around
the newborn's umbilical
stump
e. clean the newborn's dia-
per area
4. a nurse is caring for a a. take photos of the newborn to give to the parents
client and her partner who
have experienced a fetal the nurse should create a memory box that includes mementos of
, ATI Maternal Newborn Assessment A Study Guide Test.
the newborn (ex: photos, ID bands, newborn
hat and blanket)