ATI Maternal newborn assessment A

A nurse on the postpartum unit is caring for a pt. following a cesarean birth. Which of the following assessments is the nurse's priority? a. parent-child attachment b. amount of lochia c. patency of the IV catheter d. quality and quantity of urine - Ans - b. amount of lochia when using the ABCs approach to client care, the nurse should place the priority in the immediate postpartum period on assessing the amount of postpartum lochia. the greatest risk to the client is bleeding and postpartum hemorrhage. a nurse is caring for a client who is in labor and whose fetus is in the right occiput posterior position. the client is dilated to 8cm and reports back pain. which of the following actions should the nurse take? a. apply sacral counter pressure b. perform trancutaneous electrical nerve stimulation (TENS) c. initiate slow-paced breathing d. assist with biofeedback - Ans - a. apply sacral counter pressure the nurse should apply sacral counter pressure to assist in relieving back labor pain related to fetal posterior position b. the nurse should perform TENS during the first stage of labor. c. the nurse should transition a client to pattern-paced breathing during this stage of labor. d. The nurse should teach the client about biofeedback during the prenatal period for it to be effective during labor. a nurse is demonstrating to a client how to bathe her newborn. in which order should the nurse perform the following actions a. wipe the newborn's eyes from inner canthus outward b. wash the newborn's legs 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 diaper area - Ans - a. wipe the newborn's eyes from inner canthus outward c. wash the newborn's neck by lifting the newborn's chin d. cleanse the skin around the newborn's umbilical stump b. wash the newborn's legs and feet e. clean the newborn's diaper area The nurse should demonstrate how to bathe a newborn by using a head to toe, clean to dirty, approach. a nurse is caring for a client and her partner who have experienced a fetal death. which of the following actions should the nurse take? a. take photos of the newborn to give to the parents b. tell the parents that they can consider organ donation c. encourage the parents to avoid allowing older children to visit them in the hospital d. explain to the parents the need to name the newborn - Ans - a. take photos of the newborn to give to the parents the nurse should create a memory box that includes mementos of the newborn (ex: photos, ID bands, newborn hat and blanket) b. Organ donation can be considered if a newborn is delivered alive. c. The nurse should encourage the client to allow older children to come to the hospital as a beneficial part of the grieving process. d. The nurse should explain to the client that naming the baby can be helpful during the grieving process, but it is not a requirement.