Maternal Newborn ATI Practice Questions Related

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A delivering patient presses the call light and reports that her water just broke the nurse first action should be:

  • A. Check the fetal heart tone
  • B. Call physician
  • C. Change bed linen
  • D. Encourage mother to go for a walk
Correct Answer: A

Rationale: The correct first action when a delivering patient's water breaks is to check the fetal heart tone. This is important to assess the well-being of the baby and ensure there are no signs of distress. Once the fetal heart tone is confirmed, the nurse can proceed with notifying the physician, changing bed linen, and encouraging the mother to go for a walk as needed. But the priority should always be to assess the fetal well-being in such a situation.