ATI Maternal Newborn Proctored Exam
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1. Two days after delivery, a postpartum client prepares for discharge.
... [Show More] What should the nurse teach her
about lochia flow?
Incorrect: Lochia does change color but goes from lochia rubra (bright red) on days 1-3, to lochia serosa
(pinkish brown) on days 4-9, to lochia alba (creamy white) days 10-21.
Incorrect: Numerous clots are abnormal and should be reported to the physician.
Incorrect: Saturation of the perineal pad is considered abnormal and may indicate postpartum
hemorrhage.
Correct: Lochia normally lasts for about 21 days, and changes from a bright red, to pinkish brown, to
creamy white.
The color of the lochia changes from a bright red to white after four days
Numerous large clots are normal for the next three to four days
Saturation of the perineal pad with blood is expected when getting up from the bed
Lochia should last for about 3 weeks, changing color every few days
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 beats/min below the baseline. Late decelerations are
suspected and the nurse notifies the physician. Which is the rationale for this action?
Incorrect: A nuchal cord (cord around the neck) is associated with variable decelerations, not late
decelerations.
Incorrect: Variable decelerations (not late decelerations) are associated with cord compression.
Incorrect: Late decelerations are a result of hypoxia. They are not reflective of the strength of maternal
contractions.
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Correct: Late decelerations are associated with uteroplacental insufficiency and are a sign of fetal
hypoxia. Repeated late decelerations indicate fetal distress.
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 A nurse is planning care for a newborn who has hyperbilirubinemia and is to receive
phototherapy. Which of the following interventions should the nurse include?
Place the newborn 45 cm (18 in) from the light source
3 an assistive personnel tells the nurse that several client measurements were obtained with
morning vital signs. Which of the following clients should the nurse plan to assess?
Head injury HR 60
5 A community health nurse recognizes that th [Show Less]