Ati Rn Maternal Newborn Study Guide Questions And Correct Answers

A nurse is planning care for a client who is in labor and is to have an amniotomy. Which of the following assessments should the nurse identify as the priority? a. O2 saturation b. Temperature c. Blood pressure d. Urinary output {Ans: b. Temperature The greatest risk for a client following amniotomy is infection. Therefore, the nurse should identify that the priority assessment is the client's temperature.}A nurse is assessing a newborn following a circumcision. Which of the following findings should the nurse identify as an indication that the newborn is experiencing pain? a. decreased heart rate b. chin quivering c. pinpoint pupils d. slowed respirations {Ans: b. chin quivering Behavioral responses to a newborn's pain include facial expressions such as chin quivering, grimacing, and furrowing of the brow.}A nurse is caring for a postpartum client who is receiving heparin via a continuous IV infusion for thrombophlebitis in their left calf. Which of the following actions should the nurse take? a. administer aspirin for pain b. maintain the client on bed rest c. massage the affected leg d. apply cold compresses to the affected calf {Ans: b. maintain the client on bed rest The client should remain