a.

outward using plain water. The nurse should then wash the newborn's neck by lifting the

newborn's chin. Next, the nurse should cleanse the skin around the umbilical cord stump

The greatest risk to the client is bleeding and postpartum hemorrhage.

ATI PN MATERNAL NEWBORN PROCTORED EXAM

(VERSION 1)

01. 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, breathing, circulation approach to client care, the nurse should place

the priority in the immediate postpartum period on assessing the amount of postpartum lochia.

02. 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

The nurse should apply sacral counterpressure to assist in relieving back labor pain related to

fetal posterior position.

03. A nurse is demonstrating to a client how to bathe her newborn. In which order should the

nurse perform the following actions? (Move the steps into the box on the right, placing them in

the selected order of performance. Use all the steps.)

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.

The nurse should demonstrate how to bathe a newborn by using a head to toe, clean to dirty,

approach. Therefore, the nurse should first wipe the newborn's eyes from the inner canthus