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Maternal Newborn Care Exam 4A
ATI Maternal Newborn Care Exam 4A
Total Questions : 46
Showing 10 questions Sign up for moreA nurse on the postpartum unit is planning to delegate client care to an assistive personnel (AP). Which of the following tasks should the nurse plan to delegate to the AP?
Explanation
A.Monitoring vital signs during the admission of a client with gestational hypertension requires nursing judgment and assessment skills.
B. Providing a sitz bath to a client with a fourth-degree laceration and is 2 days post- partum can be delegated to an AP. This task does not require the nurse's clinical judgment or assessment skills, and it can be safely performed by the AP following the nurse's instructions.
C.Observing an area of redness on the breast requires nursing assessment and intervention.
D.Changing the perineal pad of a client who has just been transferred from the labor ward is a task that should not be delegated to an assistive personnel (AP) since it is beyond their scope.This task requires assessment skills to evaluate the amount and type of lochia (postpartum vaginal discharge) and to monitor for signs of complications such as hemorrhage or infection. These assessments are within the scope of practice for a registered nurse.
Which of the following method is used by the nurse to prevent heat loss in the newborn resulting from evaporation?
No explanation
A nurse is reinforcing teaching with a client who is breastfeeding. Which of the following instructions should the nurse include in the teaching?
Explanation
a.The Recommended Dietary Allowance for iron is 27mg/day during pregnancy while in lactation itsonly 9mg/day because of the expectation that there will be no menstrual losses during the first 6months postpartum, and the iron accumulated during prenatal formation of maternal red blood cells can be recycled and used by the mother postpartum. Additionally some clients have difficulty tolerating prenatal vitamins in the lactation period because of their high iron content. A multivitamin that contains less than 30mg of iron may have fewer GI effects and be better tolerated.
b.While breastfeeding does require additional calories, the typical recommendation is an increase of about 500 calories per day, not 600.
c.Proper hydration is essential for milk production and overall health. However,The Institute of Medicine (IOM) established total water intake (TWI) at 3.0 L/day for pregnant women and 3.3 L/day for breastfeeding women.
d.While some individuals might avoid shellfish due to allergies or concerns about mercury, there is no general recommendation for all breastfeeding mothers to avoid shellfish.
A nurse is calculating a client's intake and output for an 8-hr shift. The client's intake included 1,000 ml 0.9% sodium chloride IV solution, one 6-oz cup of coffee, 6 oz of water, one 180-mL bowl of soup, 3 oz of flavored gelatin, and 3 oz of ice cream. How many mL should the nurse document as the client's total intake for the shift?
Explanation
Explanation:
The total intake is:
1000 mL of IV solution + 177 mL (6 oz) of coffee + 177 mL (6 oz) of water + 180 mL of soup +
89 mL (3 oz) of flavored gelatin + 89 mL (3 oz) of ice cream
= 1712 mL
Following the delivery of a newborn, which nursing intervention should be carried out immediately?
No explanation
Six to twelve hours after the vaginal delivery of a single infant and placenta, the uterine fundus should be palpable at or below the level of
No explanation
A nurse is reinforcing teaching about strategies to calm a newborn with a client who is postpartum. Which of the following suggestions should the nurse make? (Select all that apply.)
Explanation
Swaddling can provide a sense of security and comfort to the newborn by mimicking the feeling of being in the womb.
Carrying the newborn close to the caregiver's body can help promote a sense of security and provide soothing motion. It can also allow the caregiver to be responsive to the newborn's needs.
The gentle motion and vibrations of a car ride can often help soothe a newborn and lull them to sleep.
It is not appropriate to suggest the following:
It is important to respond to a newborn's cries and provide comfort and care. Allowing a newborn to cry for extended periods without intervention can lead to distress and is not recommended.
Newborns often feel more secure when they are in a smaller, cozier space. Placing them in the center of a large crib may not provide the same sense of security.
A nurse is caring for a client who is breastfeeding and tells the nurse that she is concerned about her newborn's hydration. Which of the following nursing observations is appropriate to use in evaluating the adequacy of the newborn's hydration?
No explanation
A nurse is assisting in the care of a newborn immediately following birth. The nurse notes mucus bubbling out of the newborn's mouth and nose. Which of the following actions should the nurse take first?
No explanation
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