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    ATI NUR 209 Maternal Newborn Proctored Exam

    A nurse on the postpartum unit is caring for a group of clients with an assistive personnel (AP). Which of the following tasks should the nurse plan to delegate to the AP?

    Explanation & Rationale

    Choice A rationaleObserving an area of redness on the breast of a client who is 1 day postpartum requires the assessment and clinical judgment of a registered nurse. This observation could indicate mastitis or other complications that need professional evaluation.Choice B rationaleProviding a sitz bath to a stable postpartum client with a fourth-degree laceration is a comfort measure that can be safely delegated to assistive personnel. The procedure is routine and does not require the specialized assessment skills of a registered nurse.Choice C rationaleMonitoring vital signs during the admission of a client with gestational hypertension requires the assessment skills of a registered nurse. Baseline vital signs and the client's overall condition need to be evaluated by the nurse upon admission, especially in a client with a potentially unstable condition like gestational hypertension. Normal blood pressure is typically less than 140/90 mmHg in gestational hypertension, but admission monitoring requires professional nursing judgment.Choice D rationaleChanging the initial perineal pad of a client who just transferred from labor and delivery involves assessing the amount and type of bleeding, which is a nursing assessment. This initial assessment is crucial to monitor for postpartum hemorrhage and should be performed by the registered nurse. .

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