ATI Maternal Newborn Practice A with Correct Solutions 2024

ATI Maternal Newborn Practice A with Correct Solutions 2024 A nurse is caring for a client who has uterine atony and is experiencing postpartum hemorrhage. Which of the following actions is the nurse's top priority? a) check client's capillary refill b) massage the client's fundus c) insert an indwelling urinary catheter for the client d) Prepare the client for a blood transfusion. - Answer -b) massage the fundus Uterine atony and postpartum hemorrhage indicate that this client is at the greatest risk for hypovolemic shock. This can compromise the perfusion to the client's vital organs, which can lead to death. Therefore, the nurse's priority is to massage the client's fundus to minimize blood loss. All the other answers are actions the nurse should take, but the priority is massaging the fundus. A nurse is caring for a client who is to receive oxytocin to augment her labor. Which of the following findings contraindicates the initiation of the oxytocin infusion and should be reported to the provider? a) Late decelerations b) Moderate variability of the FHR c) Cessation of uterine dilation d) Prolonged active phase of labor - Answer -A) Late decelerations Late decelerations are indicative of uteroplacental insufficiency. Therefore, this is a contraindication for the administration of oxytocin and should be reported to the provider.Moderate variability of the FHR is an expected assessment finding associated with normal fetal acid-base balance. It is not a contraindication to the administration of oxytocin. Cessation of uterine dilation is an indication for the initiation of an oxytocin infusion to augment the client's labor progression. A prolonged active phase of labor is an indication for the initiation of an oxytocin infusion to augment the client's labor progression. A nurse is assessing a client who has severe preeclampsia. Which of the following manifestations should the nurse expect? a) 2+ deep tendon reflexes b) Proteinuria of 200 mg in a 24-hr specimen c) Polyuria d) Blurred vision - Answer -d) Blurred vision The nurse should identify that a client who has severe preeclampsia can have arteriolar vasospasms and decreased blood flow to the retina which can lead to visual distur