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1. A nurse monitors fetal well-being by means of an external monitor. At the peak of the contractions, the fetal heart rate has repeatedly dropped 30 beats/min below the baseline. Late decelerations are suspected and the nurse notifies the physician. Whic€17,28
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1. A nurse monitors fetal well-being by means of an external monitor. At the peak of the contractions, the fetal heart rate has repeatedly dropped 30 beats/min below the baseline. Late decelerations are suspected and the nurse notifies the physician. Whic
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1. A nurse monitors fetal well-being by means of an external monitor. At the peak of the contractions, the fetal heart rate has repeatedly dropped 30 beats/min below the baseline. Late decelerations are suspected and the nurse notifies the physician. Which is the rationale for this action? .
The u...
MATERNAL NEWBORN ATI EXAM Q &
A.Approved
ATI. MATERNAL-NEWBORN
1. A nurse monitors fetal well-being by means of an external monitor. At the peak of the
contractions, the fetal heart rate has repeatedly dropped 30 beats/min below the baseline. Late
decelerations are suspected and the nurse notifies the physician. Which is the rationale for this
action? .
The umbilical cord is wrapped tightly around the fetus' neck
The fetal cord is being compressed due to rapid descent of
the fetal head Maternal contractions are not adequate
enough to deliver the fetus
The fetus is not receiving adequate oxygen and is in distress
2. Which preoperative nursing interventions should be included for a client who is scheduled to
have an emergency cesarean birth?
Monitor oxygen saturation and administer pain medication.
Assess vital signs every 15 minutes and instruct the client about
postoperative care. Alleviate anxiety and insert an indwelling catheter.
Perform a sterile vaginal examination and assess breath sounds.
3. Which nursing instruction should be given to the breastfeeding mother regarding care
of the breasts after discharge?
,MATERNAL NEWBORN ATI EXAM Q &
A.Approved
The baby should be given a bottle of formula if
engorgement occurs. The nipples should be covered with
lotion when the baby is not nursing. The breasts should be
pumped if the baby is not sucking adequately.
The breasts should be washed with soap and water once per day.
, MATERNAL NEWBORN ATI EXAM Q &
A.Approved
4. A client in preterm labor is admitted to the hospital. Which classification of drugs should
the nurse anticipate administering?
5. Which of the following are probable signs, strongly
indicating pregnancy? Presence of fetal heart sounds and
quickening
Missed menstrual periods, nausea, and
vomiting Hegar's sign, Chadwick's sign,
and ballottement Increased urination
and tenderness of the breasts
6. Two hours after delivery the nurse assesses the client and documents that the fundus is soft,
boggy, above the level of the umbilicus, and displaced to the right side. The nurse encourages
the client to void. Which is the rationale for this nursing action?
A full bladder prevents normal contractions of the uterus.
An overdistended bladder may press against the episiotomy causing
dehiscence. Distention of the bladder can cause urinary stasis and
infection.
It makes the client more comfortable when the fundus is massaged.
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