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ATI LPN · Maternal Newborn Nursing · Maternal Newborn ATI Quizlet

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

A client at 39 weeks of gestation in a prenatal clinic asks about signs preceding labor. Which of the following should the nurse identify as a sign that precedes labor?

A. Decreased vaginal discharge
B. A surge of energy
C. Urinary retention
D. Weight gain of 0.5 to 1.5 kg

Expert Explanatory Rationale

Correct Answer: A surge of energy

Question 2 of 5

A client gave birth 2 hours ago, and their blood pressure is 60/50 mm Hg. What action should the nurse take first?

A. Evaluate the firmness of the uterus.
B. Initiate oxygen therapy via a non-rebreather mask.
C. Administer oxytocin infusion.
D. Obtain a type and crossmatch.

Expert Explanatory Rationale

Correct Answer: Evaluate the firmness of the uterus.

Question 3 of 5

A client who is at 10 weeks of gestation reports abdominal pain and moderate vaginal bleeding, with a tentative diagnosis of inevitable abortion. Which of the following nursing interventions should be included in the plan of care?

A. Administer oxygen via nasal cannula.
B. Offer the option to view products of conception.
C. Instruct the client to increase potassium-rich foods in the diet.
D. Maintain the client on bed rest.

Expert Explanatory Rationale

Correct Answer: Offer the option to view products of conception.

Question 4 of 5

When assessing newborn reflexes, what action should be taken to elicit the Moro reflex?

A. Perform a sharp hand clap near the infant.
B. Hold the newborn vertically allowing one foot to touch the table surface.
C. Place a finger at the base of the newborn's toes.
D. Turn the newborn's head quickly to one side.

Expert Explanatory Rationale

Correct Answer: Perform a sharp hand clap near the infant.

Question 5 of 5

During a client's active labor, a healthcare provider notes that the presenting part is at 0 station. What is the correct interpretation of this clinical finding?

A. The fetal head is in the left occiput posterior position.
B. The largest fetal diameter has passed through the pelvic outlet.
C. The posterior fontanel is palpable.
D. The lowermost portion of the fetus is at the level of the ischial spines.

Expert Explanatory Rationale

Correct Answer: The lowermost portion of the fetus is at the level of the ischial spines.

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