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ATI-OB REAL EXAM 70 QUESTIONS AND CORRECT ANSWERS LATEST//ALREADY GRADED A+ a nurse is assessing a client who is 12 hr postpartum and received spinal anesthesia for a cesarean birth. which of the following findings requires immediate intervent $27.99   Add to cart

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ATI-OB REAL EXAM 70 QUESTIONS AND CORRECT ANSWERS LATEST//ALREADY GRADED A+ a nurse is assessing a client who is 12 hr postpartum and received spinal anesthesia for a cesarean birth. which of the following findings requires immediate intervent

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ATI-OB REAL EXAM 70 QUESTIONS AND CORRECT ANSWERS LATEST//ALREADY GRADED A+ a nurse is assessing a client who is 12 hr postpartum and received spinal anesthesia for a cesarean birth. which of the following findings requires immediate intervention by the nurse? - ATI-OB REAL EXAM 70 QUESTIONS...

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  • November 19, 2024
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ATI-OB REAL EXAM 70 QUESTIONS AND CORRECT ANSWERS
2024-2025 LATEST//ALREADY GRADED A+
a nurse is assessing a client who is 12 hr postpartum and received spinal anesthesia for a
cesarean birth. which of the following findings requires immediate intervention by the nurse? -
ANSWER-Respiratory rate 10 per min
A client who has received spinal anesthesia is at risk for respiratory depression and hypotension.
A respiratory rate of 10/min indicates bradypnea and requires immediate intervention.


a nurse is providing teaching to the mother of a newborn born small for gestational age. which
of the following should the nurse include as a possible cause of this condition? -
ANSWERPlacental insufficiency
Placental insufficiency is a cause of small for gestational age. It can result from maternal
infections, embryonic placental deficiency, teratogens, or chromosomal abnormalities.


a nurse is caring for a newborn 4 hr after birth. which of the following actions should the nurse
include in the plan of care to prevent jaundice? - ANSWER-Initiate early feeding
Prevention of jaundice can be facilitated best by early and frequent feeding, which stimulates
intestinal activity and passage of meconium. Jaundice occurs due to elevated serum bilirubin,
which is excreted primarily in the newborn's stool. Physiologic jaundice manifests after 24 hr
and is considered benign. However, bilirubin may accumulate to hazardous levels and lead to a
pathologic condition.


a nurse is caring for a client who is in active labor and notes late decelerations on the fetal
monitor. which of the following is the priority nursing action? - ANSWER-Position the client on
her side
Late decelerations stem from decreased blood perfusion to the placenta or compression of the
placenta. A position change should increase perfusion or decrease compression, and it is the
first intervention the nurse should try. The greatest risk to the client is fetal hypoxia, so the
priority action is the one that has the best chance of improving fetal perfusion.


a nurse is assessing a client who is 8 hr postpartum and multiparous. which of the following
findings should alert the nurse to the client's need to urinate? - ANSWER-Fundus three
fingerbreadths above the umbilicus

, A full bladder can raise the level of uterine fundus and possibly deviate it to the side.


a nurse is admitting a term newborn following a cesarean birth. the nurse observes that the
newborn's skin is slightly yellow. this finding indicates the newborn is experiencing a
complication related to which of the following? - ANSWER-Maternal/newborn blood group
imcompatibility
Maternal/newborn blood group incompatibility is the most common form of pathologic
jaundice and the jaundice appears within the first 24 hr of life.


a nurse is assisting a client who is postpartum with her first breastfeeding experience. when the
client asks how much of the nipple she should put into the newborn's mouth, which of the
following responses should the nurse make? - ANSWER-"You should place your nipple and some
of the areola into her mouth"
Placing the nipple and 2 to 3 cm of areolar tissue around the nipple into the baby's mouth aids
in adequately compressing the milk ducts. This placement decreases stress on the nipple and
prevents cracking and soreness.


a nurse is caring for a client who is 5 hr postpartum following a vaginal birth of a newborn
weighing 9 lb 6 oz. (4252 g). the nurse should recognize that this client is at risk for which of the
following postpartum complications? - ANSWER-Uterine atony
A uterus that is over distended, such as from a macrosomic fetus, has an increased risk of
uterine atony.


a nurse is teaching a newborn's parent to care for the umbilical cord stump. which of the
following instructions should the nurse include? - ANSWER-Give a sponge bath until the cord
stump falls off
Immersing the umbilical cord stump in water can delay the process of drying, separation, and
healing. Sponge baths are appropriate until the stump falls off.


a nurse is caring for a preterm newborn who is in an incubator to maintain a neutral thermal
environment. the father of the newborn asks the nurse why this is necessary. which of the
following responses should the nurse make? - ANSWER-Preterm newborns lack adequate
temperature control mechanisms

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