ATI LPN
ATI LPN n105t Maternal Newborn Exam Questions
Extract:
A client who presents to a labor and delivery unit with rapidly progressing labor
Question 1 of 5
A nurse is assisting with the care of a client who presents to a labor and delivery unit with rapidly progressing labor. Which of the following actions is the priority for the nurse to take?
Correct Answer: D
Rationale: The safety of the infant during rapid delivery is the top priority.
Extract:
A client who is in labor
Question 2 of 5
A nurse is assisting with the care of a client who is in labor. Which of the following nursing actions reflects application of the gate control theory of pain?
Correct Answer: A
Rationale: Massaging the client's back activates larger nerve fibers, blocking pain signals to the brain, which aligns with the gate control theory.
Question 3 of 5
A nurse is assisting with the care of a client who is in labor. Which of the following findings should the nurse report to the provider?
Correct Answer: D
Rationale: A sustained FHR of 100/min is bradycardia and indicates fetal distress, requiring immediate evaluation and intervention.
Extract:
A client who is in the first stage of labor. The nurse observes the umbilical cord protruding from the vagina.
Question 4 of 5
A nurse is assisting with the care of a client who is in the first stage of labor. The nurse observes the umbilical cord protruding from the vagina. Which of the following actions should the nurse take first?
Correct Answer: C
Rationale: This action uses gravity to relieve pressure on the umbilical cord, promoting fetal oxygenation.
Extract:
A client who is in labor and has an external electronic fetal monitor. The nurse observes that the fetal heart rate begins to decelerate after the contraction has started, with the lowest point of the deceleration occurring after the peak of the contraction.
Question 5 of 5
A nurse is assisting with the care of a client who is in labor and has an external electronic fetal monitor. The nurse observes that the fetal heart rate begins to decelerate after the contraction has started, with the lowest point of the deceleration occurring after the peak of the contraction. Which of the following actions should the nurse take first?
Correct Answer: C
Rationale: Lateral positioning improves uteroplacental blood flow and is the priority intervention for late decelerations.