2024 Maternal Newborn Final Exam New Latest Version Updated 2024-2025 Best, Exams of Nursing

Download 2024 Maternal Newborn Final Exam New Latest Version Updated 2024-2025 Best and more Exams Nursing in PDF only on Docsity! 2024 ATI Maternal Newborn Final Exam New Latest Version Updated 2024-2025 Best Studying Material with All Questions and Answers A nurse is reinforcing teaching about car seat safety with the parent of a newborn. Which of the following client statements indicates an understanding of the teaching? ---- ------ Correct Answer --------- If my baby rides in a car with no backseat, the passenger airbag must be turned off A nurse is caring for a newborn who is receiving photos therapy. Which of the following action should the nurse take? ---------- Correct Answer --------- Place an opaque mask over the newborn's eyes A nurse is contributing to the plan of care for a client who is at 18 weeks gestation and has just learned that the fetus has trisomy 21. Which of the following resources should the nurse recommend for the client? ---------- Correct Answer ---------- Genetic counseling A nurse is planning to reinforce discharge teaching about formula feeding with the parent of a newborn. Which of the following instructions should the nurse plan to include? ---------- Correct Answer ---------- Provide the newborn with six to eight feedings during a 24-hr period A nurse is reinforcing discharge teaching about methods to prevent engorgement during lactation suppression with a client who is bottle-feeding her newborn. Which of the following statements should the nurse identify as an indication that the client understands the instruction? ---------- Correct Answer ---------- "I will apply cold cabbage leaves to my breasts through the day" Nurse is reinforcing teaching with a client who is at 9 weeks of gestation and reports frequent episodes of nausea and vomiting. Which of the following instruction should the nurse include? ---------- Correct Answer --------- Consume small meals frequently each day A nurse is reinforcing teaching with a client who is at 20 weeks of gestation and reports having constipation. Which of the following information should the nurse include? -------- -- Correct Answer --------- Consume 28 g of fiber per day Nurse is assisting in the care of a newborn who is 24 hours old. Complete the following sentence by using the list of options. ---------- Correct Answer ---- ----- The newborn is at greatest risk for developing hypoglycemia as evidenced by the newborns temperature. A nurse in a maternal newborn unit is caring for a newborn in the nursery. The newborn's grandfather asked if he may take the newborn to his daughter's room. Which of the following responses should the nurse make? ---------- Correct Answer --------- Let me wash my hands and then I'll take the baby to his mother Is reinforcing teaching about risk factors for respiratory distress syndrome (RDS) in newborns with a group of clients who are pregnant. Which of the following risk factors should the nurse include? ---------- Correct Answer --------- Prematurity A nurse is planning to administer terbutaline to a client who is experiencing preterm labor. Which of the following routes of administration should the nurse plan to use? ------ ---- Correct Answer --------- Subcutaneous A nurse is preparing to administer clindamycin 450 mg PO to a client who has endometritis. The amount available is clindamycin 150 mg/capsule. How many capsules should the nurse administer? ---------- Correct Answer --------- 3 capsules A nurse is reinforcing teaching about food sources that are high in folate with a group of clients who are pregnant. Which of the following foods should the nurse recommend to this group as the best source of folate? ---------- Correct Answer --------- 1/2 cup dried peas A nurse is reinforcing, home care safety with the guardian of a newborn prior to discharge. Which of the following statements by the guardian indicates an understanding of the teaching? ---------- Correct Answer --------- Should place my baby's crib away from windows Nurse is assisting with the care of the client who is at 40 weeks of gestation and is in active labor. Which of the following findings should the nurse report to the charge nurse? ---------- Correct Answer --------- Prolonged deceleration of FHR A nurse is reviewing the prenatal record of a client who is at 34 weeks of gestation. Which of the following results should the nurse identify as a desirable outcome? ---------- Correct Answer --------- Reactive nonstress test A nurse in a prenatal clinic is caring for a client who is at 16 weeks of gestation and has a positive hepatitis B test results. Which of the following action should the nurse take? -- -------- Correct Answer --------- Explain to the client that they will receive the hepatitis B immune globulin immediately Nurse is caring for a 16-year-old adolescent. Which of the following findings should the nurse report to the provider? Select all that apply. ---------- Correct Answer --------- Abdominal assessment Vaginal discharge The nurse is reinforcing teaching with a client who is at 20 weeks of gestation and has gestational diabetes mellitus. Which of the following information should the nurse include in the teaching? ---------- Correct Answer --------- Consume at least 2000 cal/day A nurse is collecting data from a client who is at 36 weeks of gestation during a prenatal examination. Which of the following findings should the nurse report to the provider? ---- ------ Correct Answer --------- Blurred vision The nurse is caring for a client who is experiencing a postpartum hemorrhage. Which of the following medication should the nurse expect the provider to prescribe? ---------- Correct Answer --------- Methylergonovine A nurse is collecting data from a client who is in the second trimester of pregnancy. Which of the following findings should the nurse report to the provider? ---------- Correct Answer --------- Frequent uterine contractions A nurse on a post partum unit is assisting with the care of a client who has a hypotonic uterus and excessive vaginal bleeding. Which of the following actions should the nurse take first? ---------- Correct Answer --------- Provide fundal massage for the client A nurse is caring for a newborn who is large for gestational age and is jittery. Which of the following action should the nurse take first? ---------- Correct Answer --------- Check the newborn's blood glucose level A nurse is preparing to administer PHYTONADOIONE to a newborn. The nurse should plan to administer this medication by which of the following routes. ---------- Correct Answer --------- Intramuscular A nurse is contributing to the plan of care for a client who is pregnant and has intermittent constipation. Which of the following should the nurse recommend in the plan? ---------- Correct Answer --------- Drink 2 L of water per day A nurse is contributing to the plan of care for a newborn following a vaginal birth. Which of the following information should the nurse include when helping to develop the newborns plan of care? Select all that apply. ---------- Correct Answer --------- Maternal Group B streptococcus Apgar score Type of birth A nurse is planning to perform a blood collection via heel stick on a newborn. After performing hand hygiene and donning gloves which of the following actions should the nurse plan to take next? ---------- Correct Answer --------- Wrap the newborns heel with a cloth moistened with warm water A nurse is contributing to the plan of care for a client who is at 18 weeks gestation and has just learned that the fetus has trisomy 21. Which of the following resources should the nurse recommend for the client? ---------- Correct Answer --------- Genetic counseling A nurse is collecting data from a client who is receiving magnesium sulfate IV for preeclampsia. The nurse should identify which of the following findings as an indication for toxicity to report to the provider? ---------- Correct Answer --------- Respiratory rate 10/minute A nurse is collecting data from a 28 year old client who is requesting a prescription for an oral contraceptive. Which of the following information in the clients history should the nurse identify as an contraindication for the use of oral contraceptives? ---------- Correct Answer --------- Frequent headaches with visual changes The nurse is reinforcing teaching with a client who has preeclampsia and is receiving magnesium sulfate via continuous IV infusion. Which of the following statements should the nurse include in the teaching? ---------- Correct Answer --------- Your fluid intake will be limited to no more than 125 mL per hour. A nurse is caring for a client who is at 20 weeks of gestation and is in the clinic for a routine prenatal visit which of the following findings in the data from the clients medical records should the nurse report to the provider ---------- Correct Answer --------- Fundal height of 25 cm A nurse is caring for a client 6 hours after a vaginal birth who is going to breast-feed her newborn. The clients reports perineal pain of a 6 on a scale from 0 to 10. The nurse also notes mild peripheral edema and ecchymosis with a fundus that is 2 cm above the umbilicus with deviation to the right. Which of the following actions is the nurse's priority ---------- Correct Answer --------- Help the client ambulate to the toilet. A nurse is assisting with the care of a client who is postpartum and is receiving magnesium sulfate IV by continuous infusion to treat preeclampsia. Which of the following findings should the nurse identify as a manifestation of magnesium toxicity? Select all that apply. ---------- Correct Answer --------- Decreased respiratory rate. Decreased level of consciousness. Double vision. A nurse is collecting data from a client who is at 33 weeks of gestation. Which of the following findings should the nurse identify as an indication of potential complication of pregnancy? ---------- Correct Answer --------- Epigastric pain A nurse is reinforcing, family planning options with a client who is requesting information about contraceptives. Which of the following client statements indicates an understanding of the teaching? ---------- Correct Answer --------- I can use a water soluble lubricant with my partner where is a latex condom A nurse is collecting data from a newborn who is eight hours old. Which of the following findings should the nurse report to the provider? ---------- Correct Answer --------- Apical heart rate of 90 bpm while crying A client requests information about the use of a diaphragm for birth control. Which of the following statements should the nurse make. ---------- Correct Answer --------- You will need to replace your diaphragm every two years. A nurse is assisting with planning care for a client who is breastfeeding and has mastitis. Which of the following recommendations should the nurse include? ---------- Correct Answer --------- Instruct the client to apply warm compresses to the infected breast A nurse is caring for a client during the postpartum period. Which of the following findings should the nurse expect during the first 24 hours following birth? Select all that apply. ---------- Correct Answer --------- Diuresis. Discharge of clear, yellow fluid from the breasts. Lower abdominal cramping. A nurse is collecting data from a client who is 32 hours postpartum. Which of the following findings should the nurse expect? ---------- Correct Answer --------- Urine output of 3,000 mL in 24 hours A nurse is reviewing the laboratory results of a 4-hour-old newborn. Which of the following findings should the nurse report to the provider? ---------- Correct Answer ------- -- Platelet count 120,000/mm^3 A nurse is reinforcing teaching with a client who has asked about continuing routine exercise during pregnancy. Which of the following responses should the nurse make? -- -------- Correct Answer --------- Drink plenty of water after exercising A nurse is assisting with collecting data from a newborn who was born two hours ago and has respiratory distress. Which of the following findings should the nurse report to the provider? Select all that apply. ---------- Correct Answer --------- Tachypnea Nasal flaring Retractions Expiratory grunting A nurse is caring for a client who is pregnant in an antepartum clinic. Which of the following findings should the nurse report to the provider? ---------- Correct Answer --------- Uterine contractions Gestational age Vaginal examination A nurse is reinforcing discharge teaching about methods to prevent engorgement during lactation suppression with a client who is bottlefeeding her newborn. Which of the A nurse is caring for a client following a cesarean birth. Which of the following actions should the nurse take to decrease the clients risk of developing thrombophlebitis? ------- --- Correct Answer --------- Have the client ambulate several times each day A nurse in a clinic is collecting data from a client who is at 12 weeks of gestation. Which of the following action should the nurse take? ---------- Correct Answer --------- Use an ultrasound stethoscope to listen to fetal heart tones A nurse is collecting data from the parent of a newborn immediately following birth. The parent states "she is so tiny. We don't know how to pick her up without hurting her." Which of the following action should the nurse take first to promote parent newborn attachment? ---------- Correct Answer --------- Demonstrate to the parent how to hold the newborn A nurse is caring for a client who delivered vaginally six hours ago. Which of the following findings should the nurse report to the provider? ---------- Correct Answer ------- -- Perineal pad soaked in 15 minutes A nurse is collecting data from a client who is at 38 weeks of gestation. Which of the following findings should the nurse report to the provider? ---------- Correct Answer ------- -- Glycosuria A nurse is assisting with the care of a client who is pregnant and has preeclampsia. While the nurse is collecting data. The client has a seizure. Which of the following actions should the nurse take first? ---------- Correct Answer --------- Turn the client on their side A nurse is reinforcing teaching about formula preparation with the parent of a newborn. Which of the following information should the nurse include? ---------- Correct Answer --- ------ Over diluted formula can result in inadequate growth The nurse is reinforcing teaching with a client who is trying to become pregnant. Which of the following foods should the nurse recommend as the best source of folate? --------- - Correct Answer --------- 1 cup cooked spinach A nurse is reinforcing discharge teaching about home care with a parent of a newborn. Which of the following instruction should the nurse include? ---------- Correct Answer ----- ---- Ensure the water temperature during your newborns bath is maintained at 100°F A nurse is reinforcing teaching with a client who is pregnant and will undergo a 1-hr oral glucose tolerance test. Which of the following instructions should the nurse include? ----- ----- Correct Answer --------- Avoid caffeine the morning of the test A nurse is reinforcing teaching with a client who has a new prescription for MEDOROXYPROGESTERONE ACETATE injection for contraception. Which of the following statements by the client indicates understanding of the team? ---------- Correct Answer --------- I am likely to gain weight while taking this medication A nurse is reinforcing teaching with a client who request hydrotherapy for pain management during labor. Which of the following statements should the nurse include? ---------- Correct Answer --------- You must be at least 37 weeks of gestation before you can use hydrotherapy For each an assessment finding click to specify if the finding is consistent with hypoglycemia, hyperbilirubinemia, or sepsis. --------- Correct Answer --------- Respiratory distress- Hypoglycemia, Sepsis Yellow sclera and oral mucosa- Hyperbilirubinemia, Sesis Decreased Temperature- Hypoglycemia, Sepsis Ecchymotic caput succedaneum- Hyperbilirubemia Lethargy- Hypoglycemia, Sepsis Poor feeding- Hypoglycemia, Hyperbilirubinemia, Sepsis Based on the most recent data collection findings, the nurse should assist the RN in taking which of the following actions? --------- Correct Answer --------- Applying oxygen at 10 L/min via nonbreather mask Discontinue the magnesium infusion Administer calcium gluconate A nurse is assisting in the care of a client who is 18 hr postpartum and has a fourth- degree perineal laceration. The client reports a pain rating of 4 on a scale from 0 to 10. Which of the following actions should the nurse take? --------- Correct Answer --------- Promote the use of witch hazel pads Give the client ice packs Have the client take a water sit bath Encourage the client to practice relaxation techniques A nurse is assisting in the care of a client who is at 30 weeks of gestation. Which of the following findings should the nurse report to the provider? --------- Correct Answer -------- - 2+ urinary protein (negative) A nurse is assisting in the care of a client who has deep-vein thrombosis (DVT). Which of the following actions should the nurse take? --------- Correct Answer --------- Elevate the client's affected limb A nurse assisting in the care of a client who is pregnant in an antepartum clinic. Which of the following findings should the nurse report to the provider? Select the the 3 findings that should be reported. --------- Correct Answer --------- Uterine contractions Gestational age Vaginal examination A nurse is assisting in the care of a newborn who is 24 hr old. Complete the following sentence by using the list of options --------- Correct Answer --------- The newborn is at greatest risk for developing HYPOGLYCEMIA as evidence by the newborn's TEMPERATURE A nurse is reviewing the prenatal record of a client who is at 34 weeks of gestation. Which of the following results should the nurse identify as a desirable outcome? --------- Correct Answer --------- Reactive nonstress test A nurse is contributing to the plan of care for a client who has eclampsia. Which of the following interventions should the nurse plan to include as the priority immediately following a seizure? --------- Correct Answer --------- Administer oxygen via facemask at 10 L/min A nurse is collecting data from a client who is in the second trimester of pregnancy. Which of the following findings should the nurse report to the provider? --------- Correct Answer --------- Frequent uterine contractions A nurse is reinforcing teaching about car seat safety with the guardian of a newborn. Which of the following statements by the guardian indicates an understanding of the teaching? --------- Correct Answer --------- "I will position the retainer clip at the level of the baby's armpit" A nurse is reinforcing teaching to a client who is breastfeeding their 6-day-old newborn. Which of the following client statements indicates an understanding of the teaching? ---- ----- Correct Answer --------- "My baby should have at least 6 wet diapers per day" A client requests information about the use of a diaphragm for birth control. Which of the following statements should the nurse make? --------- Correct Answer --------- "you will need to replace your diaphragm every 2 years." A nurse is assisting in the care of a client who is experiencing a postpartum hemorrhage. Which of the following medications should the nurse expect the provider to prescribe? --------- Correct Answer --------- Methylergonovine After receiving change-of-shift report, a nurse on a postpartum unit is assisting with planning for a group of clients. The nurse should recommend which of the following clients be seen first? --------- Correct Answer --------- A client who has preeclampsia and reports a sudden severe headache A nurse is assisting in the care of a newborn who is receiving phototherapy. Which of the following actions should the nurse take? --------- Correct Answer --------- Place an opaque mask over the newborn's eyes A nurse is reinforcing teaching with a new parent about the prevention of newborn abduction. Which of the following statements by the parent indicates an understanding A nurse is caring for a client who is at 20 weeks of gestation and is in the clinic for a routine prenatal visit. Which of the following findings in the data from the clients medical record should the nurse report to the provider? --------- Correct Answer --------- Fundal height A nurse is collecting data from a client who is 33 weeks of gestation. Which of the following findings should the nurse identify as an indication of a potential complication of pregnancy? --------- Correct Answer --------- Epigastric pain A nurse is collecting data from a client who is at 36 weeks of gestation during a prenatal examination. Which of the following findings should the nurse report to the provider? ---- ----- Correct Answer --------- Blurred vision A nurse is reinforcing teaching with a client who is at 20 weeks of gestation and has gestational diabetes mellitus. Which of the following information should the nurse include in the teaching? --------- Correct Answer --------- Consume at least 2,000 cal/day A nurse is assisting in the care of a client who has received methylergonovine. Which of the following should the nurse identify and document as an adverse effect of the medication? --------- Correct Answer --------- Hypertension A nurse is collecting data from a newborn who is 8 hr old. Which of the following findings should the nurse report to the provider? --------- Correct Answer --------- Apical heart rate of 90/min while crying A nurse is assisting with monitoring a client after an amniocentesis. Which of the following findings should the nurse expect? --------- Correct Answer --------- FHR 120/min A nurse is reinforcing teaching with a client who has a new prescription for medroxyprogesterone acetate injection for contraception. Which of the following statements by the client indicates understanding of the teaching? --------- Correct Answer --------- "I am likely to gain weight while taking this medication." A nurse is reinforcing teaching with a client who has preeclampsia and is receiving magnesium sulfate via continuous IV infusion. Which of the following statements should the nurse include in the teaching? --------- Correct Answer --------- "Your fluid intake will be limited to no more than 125 milliliters per hours." A nurse is collecting data from a client who is 32 hr postpartum. Which of the following findings should the nurse expect? --------- Correct Answer --------- Urine output of 3,000 mL in 24 hr A nurse is assisting in planning discharge teaching for a newborn. Which of the following information should the nurse plan to include? --------- Correct Answer --------- Swaddle the newborn with legs slightly flexed A nurse is reviewing the laboratory results of a 32-year-old female client who is at 32 weeks of gestation. Which of the following laboratory findings should the nurse report to the provider as an indication of anemia? --------- Correct Answer --------- Hematocrit 30% (37 to 47%) A nurse is assisting in the care of a client who is at 11 weeks of gestation and reports frequent vomiting. Which of the following findings should the nurse identify as an indication that the client has hyperemesis agravidarum? --------- Correct Answer --------- Ketonuria A nurse is assisting in the care of a client 6 hr after a vaginal birth who is going to breastfeed her newborn. The client reports perineal pain of 6 on a scale from 0 to 10. The nurse also notes mild perineal edema and ecchymosis, with a fundus that is 2 cm above the umbilicus with deviation the right. Which of the following actions is the nurse's priority? --------- Correct Answer --------- Help the client ambulate to the toilet A nurse is reinforcing teaching with a client who has asked about continuing routine exercise during pregnancy. Which of the following responses should the nurse make? -- ------- Correct Answer --------- "Drink plenty of water after exercising." A nurse is reinforcing teaching with a client who is at 9 weeks of gestation and reports frequent episodes of nausea and vomiting. Which of the following instructions should the nurse includes? --------- Correct Answer --------- Consume small meals frequently each day A nurse is reinforcing teaching about risk factors for respiratory distress (RDS) in newborns with a group of clients who are pregnant. Which of the following risk factors should the nurse include? --------- Correct Answer --------- Prematurity A nurse is monitoring a 1-hr-old newborn for hypoglycemia. For which of thee following findings should the nurse monitor? (Select all that apply) ---------- Correct Answer --------- - Hypothermia Twitching Tachypnea A nurse is reinforcing teaching about car seat safety with the guardian of a newborn. Which of the following client statements indicates an understanding of the teaching? ---- ------ Correct Answer ---------- "If my baby rides in a car with no back seat, the passenger air bag must be turned off." A nurse on an antepartum unit is assisting in the care for a client ---------- Correct Answer ---------- Insert a large-bore intravenous catheter-INDICATED Request a prescription for methotrexate-CONTRAINDICATED Position client for assessment of cervical dilation by RN-CONTRAINDICATED Obtain blood specimen for an hog level-NONESSENTIAL Weigh perineal pads-INDICATED A nurse is assisting in the care of a client who is in labor. The client's assessment and documentation are performed by the RN ---------- Correct Answer ---------- Place the client in Trendelenburg position Provide oxygen at 8 to 10 L/min via non breather mask Wrap the cord in warm, sterile, saline compresses A nurse is caring for a client who is at 32 weeks gestation and has a prescription for nifedipine. Which of the following outcomes should the nurse expect from this medication? ---------- Correct Answer ---------- Cessation of uterine contraction A nurse is assisting in the care of a client during the active phase of labor. Which of the following actions should the nurse take to promote the client's comfort? ---------- Correct Answer ---------- Have the client perform relaxing breathing techniques A nurse is assisting in the care of a newborn. Which of the following actions should the nurse plan to implement? ---------- Correct Answer ---------- Remind the parents to begin range-of-motion (ROM) exercises on the affected arm after 1 week-INDICATED Secure padding in the newborn's fist on the affected side-NONESSENTIAL Immobilize the arm across the abdomen by pinning the newborn's sleeve to their shirt- INDICATED Reinforce to parents to limit physical handling for 2 weeks-CONTRAINDICATED Monitor extremity for edema-NONESSENTIAL A nurse is assisting in the care of a client who is planning to become pregnant. The client asks the nurse why folic acid supplements are necessary. The nurse should inform the client that the purpose of the folic acid supplement is to do which of the following? ---------- Correct Answer ---------- Prevent certain kinds of birth defects A nurse is observing a client bathe their 1-day-old newborn. Which of the following actions should the nurse identify as an indication that the client understands how to bathe the newborn? ---------- Correct Answer ---------- The client washes the newborn's hair before unwrapping them A nurse is reinforcing teaching about food source high in folate with a group of clients who are pregnant. Which of the following foods should the nurse recommend to this group as the best source of folate? ---------- Correct Answer ---------- 1/2 cup dried peas A nurse is collecting data from a client who is receiving magnesium sulfate IV for preeclampsia. The nurse should identify which of the following findings as an indication of toxicity to report to the provider? ---------- Correct Answer ---------- Respiratory rate 10/min A nurse on a postpartum unit is organizing care for a group of clients after receiving change-of-shift report. Which of the following clients should the nurse plan to see first? - --------- Correct Answer ---------- A client who is receiving methylergonovine and has a blood pressure of 148/96 mm Hg A nurse is preparing to administer phytonadione to a newborn. The nurse should plan to administer the medication by which of the following routes? ---------- Correct Answer ----- ----- Intramuscular A nurse is collecting data from a client who is primigravida and has hyperthyroidism. Which of the following findings should the nurse expect? ---------- Correct Answer --------- - Diaphoresis A nurse is reinforcing family planning options with a client who is requesting information about contraceptives. Which of the following client statements indicates an understanding of the teaching? ---------- Correct Answer ---------- "I can use water- soluble lubricant when my partner wears a latex condom" A nurse is planning to administer terbutaline to a client who is experiencing preterm labor. Which of the following routes of administration should the nurse plan to use? ------ ---- Correct Answer ---------- Subcutaneous A nurse is collecting data from a newborn whose mother had gestational diabetes mellitus. Which of the following findings should the nurse report to the provider? ---------- Correct Answer ---------- Hypoglycemia A nurse in a prenatal clinic is assisting in the care of a group of clients. Which of the following clients should the nurse recommend the provider see first? ---------- Correct Answer ---------- A client who is at 37 weeks of gestation and reports a persistent headache A nurse is assisting in the care of a client following a cesarean birth. Which of the following actions should the nurse take to decrease the client's risk of developing thrombophlebitis? ---------- Correct Answer ---------- Have the client ambulate several times each day A nurse is reinforcing teaching with a client who is at 8 weeks of gestation. Which of the following responses by the client indicates an understanding of the teaching? ---------- Correct Answer ---------- "I should expect to have white vaginal discharge during pregnancy" A nurse is reviewing the laboratory results of a 4-hr-old newborn. Which of the following laboratory findings should the nurse identify as a finding associated with neonatal sepsis and report to the provider? ---------- Correct Answer ---------- WBC count A nurse is contributing to the plan of care for a client who has hyperemesis gravid arum. Which of the following interventions should the nurse recommend? ---------- Correct Answer ---------- Monitor intake and output A nurse is assisting with planning care for a client who is breastfeeding and has mastitis. Which of the following recommendations should the nurse include? ---------- Correct Answer ---------- Instruct the client to apply warm compresses to the affected breast A nurse on a postpartum unit is assisting with the care of a client who has a hypotonic uterus and excessive vaginal bleeding. Which of the following actions should the nurse take first? ---------- Correct Answer ---------- Provide fundal massage for the client A nurse is assisting with collecting data from a newborn who was born 2 hr ago and has respiratory distress. Which of the following findings should the nurse report to the provider? (select all that apply) ---------- Correct Answer ---------- Tachypnea Nasal flaring Retractions Expiratory A nurse on a postpartum unit is contributing to the discharge teaching plan for a client. Which of the following instructions should the nurse suggest for the plan? ---------- Correct Answer ---------- Use a firm mattress in the newborn's crib