ATI Maternal Newborn study guide 2019-2020 -comprehensive
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A nurse on the postpartum unit is caring for a client following a cesarean birth. Which of the following assessments is the nurse’s priority? **Amount of lochia** - When using the airway, breathin... g, circulation approach to client care, the nurse should place the priority in the immediate postpartum period on assessing the amount of postpartum lochia. The greatest risk to the client is bleeding and postpartum hemorrhage. A nurse is caring for a client who is in labor and whose fetus is in the right occiput posterior position. The client is dilated to 8 cm and reports back pain. Which of the following actions should the nurse take? **Apply sacral counterpressure** - Sacral counterpressure assists in relieving back labor pain related to fetal posterior position. A nurse is demonstrating to a client how to bathe her newborn. In which order should the nurse perform the following actions? **Wipe the newborn’s eyes from the inner canthus outward. Wash the newborn’s neck by lifting the newborn’s chin. Cleanse the skin around the newborn’s umbilical cord stump. Wash the newborn’s legs and feet. Clean the newborn’s diaper area.** - Use a head to toe, clean to dirty approach when washing a newborn. A nurse is caring for a client and her partner who have experienced a fetal death. Which of the following actions should the nurse take? CONTINUED....... [Show More]
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