*NURSING > A-Level Question Paper > ATI Fundamentals exam question and correct answer 2024 real exam graded A+ ANSWERS (All)
he nurse is caring for a client who had been administered an anesthetic block during labor. For which risks should the nurse watch in the client? Select all that apply. - ANSWER>>incomplete emptying... of bladder bladder distention urinary retention Many women have difficulty with feeling the sensation to void after giving birth if they have received an anesthetic block during labor, which inhibits neural functioning of the bladder. This client will be at risk for incomplete emptying, bladder distention, difficulty voiding, and urinary retention. Ambulation difficulty and perineal lacerations are due to episiotomy. The nurse is used to working on the postpartum floor taking care of women who have had normal vaginal births. Today, however, the nurse has been assigned to help care for women who are less than 24 hours post cesarean birth. The nurse realizes that some areas will not be assessed. What would the nurse leave out of the client assessments? - ANSWER>>perineum Usually a woman who experiences cesarean birth does not have an episiotomy, although rarely this may be the case. Healthy bonding behaviors are important to note when the nurse is assessing the new family. What would the nurse consider a warning sign that the mother and infant were not attaching as they should? - ANSWER>>Mother states she wanted a boy this time, not another girl. It is important to differentiate between a new parent who is nervous and anxious about her new role and one who is rejecting her parenting role. Warning signals of poor attachment include turning away from the newborn, refusing or neglecting to provide care, and disengagement from the newborn. Which maternal reaction is the most concerning? - ANSWER>>She neglects to engage with or provide care for the baby and shows little interest in it. A mother not bonding with the infant or showing disinterest is a cause for concern and requires a referral or notification of the primary health care provider. Some mothers hesitate to take their newborn and express disappointment in the way the baby looks, [Show More]
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