ATI RN
ATI Capstone Maternal Newborn Questions
Extract:
Client receiving oxytocin to augment labor, nurse notes recurrent variable decelerations of the FHR.
Question 1 of 5
A nurse is caring for a client who is receiving oxytocin to augment labor. The nurse notes recurrent variable decelerations of the FHR. Which of the following actions should the nurse take first?
Correct Answer: C
Rationale: Discontinuing oxytocin reduces uterine contractions, alleviating cord compression and improving fetal oxygenation, which is the first step in managing recurrent variable decelerations of fetal heart rate.
Extract:
Client gave birth 1 week ago, states: 'I don't know what's wrong. I love my baby, but I feel so let down and I seem to cry for no reason.'
Question 2 of 5
A nurse is assessing a client who gave birth 1 week ago. The client states, 'I don't know what's wrong. I love my baby, but I feel so let down and I seem to cry for no reason.' The nurse should identify that the client is experiencing which of the following emotional responses to birth?
Correct Answer: C
Rationale: Postpartum blues, characterized by mood swings, crying spells, and irritability, typically resolve within two weeks postpartum and are linked to hormonal changes.
Extract:
Client postoperative following a mastectomy, expresses concern about attractiveness to partner.
Question 3 of 5
A nurse is caring for a client who is postoperative following a mastectomy. The client expresses concern that they will no longer be attractive to their partner. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Recommending a support group provides psychosocial support, enabling clients to share experiences and gain insights from peers, which can alleviate feelings of inadequacy and encourage acceptance of body image changes.
Extract:
Client who is postpartum, has a deep-vein thrombosis, and is receiving heparin therapy via subcutaneous injections.
Question 4 of 5
A nurse is caring for a client who is postpartum, has a deep-vein thrombosis, and is receiving heparin therapy via subcutaneous injections. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The abdomen is the preferred site for subcutaneous heparin injections due to its fatty tissue, which minimizes risks of intramuscular bleeding and ensures consistent drug absorption.
Extract:
Pregnant client with hypertension.
Question 5 of 5
For each of the following potential antihypertensive medications, indicate whether it is recommended or not recommended for use in a pregnant client.
Correct Answer: A,C,E
Rationale: Methyldopa (
A) is safe and effective for pregnancy-induced hypertension. Labetalol (
C) is recommended for hypertensive crises with a favorable safety profile. Hydralazine (E) is safe for severe hypertensive emergencies. Lisinopril (
B) and Losartan (
D) are contraindicated due to teratogenic risks.