ATI MATERNAL NEWBORN PROCTORED EXAM
1. Two days after delivery, a postpartum client prepares for discharge.
What should the nurse teach her about lochia flow?
Correct: Lochia normally lasts for about 21 days, and changes from a
bright red, to pinkish brown, to creamy white.
2. 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
s
beats/min below the baseline. Late decelerations are suspected and the nurse
notifies the physician. Which is the rationale for this action?
.
Correct: Late decelerations are associated with uteroplacental
insufficiency and are a sign of fetal hypoxia. Repeated late decelerations
indicate fetal distress.
3. Which preoperative nursing interventions should be included for a client who
is scheduled to have an emergency cesarean birth?
Correct: Because this is an emergency, surgery must be performed
quickly. Anxiety of the client and the family will be high. Inserting an
indwelling catheter helps to keep the bladder empty and free from injury
when the incision is made.
4. Which nursing instruction should be given to the breastfeeding mother
regarding care of the breasts after discharge?
Incorrect: Engorgement occurs on about the third or fourth postpartum
day and is a result of the breast milk formation. The primary way to
relieve engorgement is by pumping or longer nursing. Giving a bottle of
formula will compound the problem because the baby will not be hungry
and will not empty the breasts well.
Correct: In order to stimulate adequate milk production, the breasts
should be pumped if the infant is not sucking or eating well, or if the
breasts are not fully emptied.
1. Two days after delivery, a postpartum client prepares for discharge.
What should the nurse teach her about lochia flow?
Correct: Lochia normally lasts for about 21 days, and changes from a
bright red, to pinkish brown, to creamy white.
2. 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
s
beats/min below the baseline. Late decelerations are suspected and the nurse
notifies the physician. Which is the rationale for this action?
.
Correct: Late decelerations are associated with uteroplacental
insufficiency and are a sign of fetal hypoxia. Repeated late decelerations
indicate fetal distress.
3. Which preoperative nursing interventions should be included for a client who
is scheduled to have an emergency cesarean birth?
Correct: Because this is an emergency, surgery must be performed
quickly. Anxiety of the client and the family will be high. Inserting an
indwelling catheter helps to keep the bladder empty and free from injury
when the incision is made.
4. Which nursing instruction should be given to the breastfeeding mother
regarding care of the breasts after discharge?
Incorrect: Engorgement occurs on about the third or fourth postpartum
day and is a result of the breast milk formation. The primary way to
relieve engorgement is by pumping or longer nursing. Giving a bottle of
formula will compound the problem because the baby will not be hungry
and will not empty the breasts well.
Correct: In order to stimulate adequate milk production, the breasts
should be pumped if the infant is not sucking or eating well, or if the
breasts are not fully emptied.
