ATI RN MATERNAL NEWBORN (PROCTORED) 2019 WITH NGN WITH WELL DEATILED ANSWERS

ATI RN MATERNAL NEWBORN (PROCTORED) 2019 WITH NGN WITH WELL DEATILED ANSWERS A nurse is caring for a client who is in labor and requests nonpharmacological pain management. Which of the following nursing actions promotes client comfort? A. Assisting the client into squatting position B. Having the client lie in a supine position C. Applying fundal pressure during contractions D. Encouraging the client to void every 6 hr - ANSWER-Having the client lie in a supine position EXPLANATION Having the patient lie in a comfortable position may help reduce sensation of pain due to labor A nurse is providing teaching about expected changes during pregnancy to a client who is at 24 weeks of gestation. Which of the following information should the nurse include? A. "Your stomach will empty rapidly" B. "You should expect your uterus to double in size" C. "You should anticipate nasal stuffiness." D. "Your nipples will become lighter in color". - ANSWER-You should expect your uterus to double in size" EXPLANATION due to rapid fetal growth due to starting of 3rd trimester A nurse is assessing a newborn following a forceps-assisted birth. Which of the following clinical manifestations should the nurse identify as a complication of the birth method? A. Hypoglycemia B. Polycythemia C. Facial Palsy D. Bronchopulmonary dysplasia - ANSWER-C. Facial Palsy EXPLANATION Most babies delivered by forceps suffer no long-term problems, but in rare cases an injury is sustained to the facial nerve, due to the pressure of the forceps blade on the baby's head. A nurse is caring for newborn immediately following birth and notes a large amount of mucus in the newborn's mouth and nose. Identify the sequence the nurse should follow when performing suction with a bulb syringe. (Move the streps into the box on the placing them in the selected order of performance. Use all the streps.) A. Assess the newborn for reflex bradycardia. B. Compress the bulb syringe C. Place the bulb syringe in the newborn's mouth. D. Use the bulb syringe to suction the newborn's nose. - ANSWER-1. Compress the bulb syringe 2. Place the bulb syringe in the newborn's mouth. 3. Use the bulb syringe to suction the newborn's nose. 4. Assess the newborn for reflex bradycardia. EXPLANATION (this time assessment comes last because if effective bulb suctioning was done, assessment for reflex bradycardia would be negative)