MATERNAL CHILD HEALTH FINAL EXAM WITH
QUESTIONS AND CORRECT ANSWERS GRADED
A+!!FINAL EXAM 2024
To ensure that the baby will breath as soon as the head is delivered, the nurse's
priority action is to
A Clamp the cord about 6 inches from the base
B Suction the nose and mouth to remove mucous secretions
C Check the baby's color to make sure it is not cyanotic
D Slap the baby's buttocks to make the baby cry - ANSWER-Suction the nose and
mouth to remove mucous secretions
Rationale:
Suctioning the nose and mouth of the fetus as soon as the head is delivered will
remove any obstruction that maybe present allowing for better breathing. Also, if
mucus is in the nose and mouth, aspiration of the mucus is possible which can lead
to aspiration pneumonia. (Remember that only the baby's head has come out as
given in the situation.)
When the baby's head is out, the immediate action of the nurse is
A Deliver the anterior shoulder
B Cut the umbilical cord
C Check if there is cord coiled around the neck
D Wipe the baby's face and suction mouth first - ANSWER-Check if there is cord
coiled around the neck
Rationale:
The nurse should check if there is a cord coil because the baby will not be
delivered safely if the cord is coiled around its neck. Wiping of the face should be
done seconds after you have ensured that there is no cord coil but suctioning of the
nose should be done after the mouth because the baby is a "nasal obligate"
breather. If the nose is suctioned first before the mouth, the mucus plugging the
mouth can be aspirated by the baby.
Upon assessment, the nurse got the following findings: 2 perineal pads highly
saturated with blood within 2 hours postpartum, PR= 80 bpm, fundus soft and
boundaries not well defined. The appropriate nursing diagnosis is:
A Inadequate tissue perfusion related to hemorrhage
B Normal blood loss
C Hemorrhage secondary to uterine atony
ati comprehensive comprehensive predictor computer science fundamentals health care health care / nursing health care/ nursing healthcare hesi hesi rn exit maternal newborn med surg medical nursing medical surgical mental health nurs nursing nursing & health nutrition pathophysiology pediatrics pharmacology test bank tncc
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