ATI RN
ATI Nurs 140 exam Maternal Newborn Questions
Extract:
A nurse is caring for a client who is a primigravida, at term, and having contractions but is stating that she is 'not really sure if she is in labor or not.'
Question 1 of 5
A nurse is caring for a client who is a primigravida, at term, and having contractions but is stating that she is 'not really sure if she is in labor or not.' Which of the following should the nurse recognize as a sign of true labor?
Correct Answer: A
Rationale: As labor begins, the cervix starts to soften, shorten, and thin (efface). This process is often expressed in percentages. This is a definitive sign of true labor as it indicates cervical progression necessary for delivery.
Extract:
A nurse is caring for a client who is in labor and has an epidural anesthesia block. The client's blood pressure is 80/40 mm Hg and the fetal heart rate is 140/min.
Question 2 of 5
A nurse is caring for a client who is in labor and has an epidural anesthesia block. The client's blood pressure is 80/40 mm Hg and the fetal heart rate is 140/min. Which of the following is the priority nursing action?
Correct Answer: D
Rationale: Placing the client in a lateral position is the priority action. This helps relieve the pressure of the gravid uterus on the inferior vena cava, improving venous return, cardiac output, and blood pressure, thereby enhancing placental blood flow and fetal oxygenation.
Extract:
A nurse is caring for a client who is in the first stage of labor, undergoing external fetal monitoring, and receiving IV fluid. The nurse observes variable decelerations in the fetal heart rate on the monitor strip.
Question 3 of 5
A nurse is caring for a client who is in the first stage of labor, undergoing external fetal monitoring, and receiving IV fluid. The nurse observes variable decelerations in the fetal heart rate on the monitor strip. Which of the following is a correct interpretation of this finding?
Correct Answer: B
Rationale: Variable decelerations are due to umbilical cord compression, which reduces blood flow and oxygen delivery to the fetus, resulting in abrupt and irregular decreases in the fetal heart rate that vary in onset, depth, and duration.
Extract:
A nurse in a prenatal clinic is caring for a client. Using Leopold maneuvers, the nurse palpates a round, firm, movable part in the fundus of the uterus and a long, smooth surface on the client's right side.
Question 4 of 5
A nurse in a prenatal clinic is caring for a client. Using Leopold maneuvers, the nurse palpates a round, firm, movable part in the fundus of the uterus and a long, smooth surface on the client's right side. In which abdominal quadrant should the nurse expect to auscultate fetal heart tones?
Correct Answer: D
Rationale: The right lower quadrant is the most likely location for fetal heart tones. The round, firm, movable part in the fundus indicates a breech position, and the long, smooth surface on the right side suggests the fetal spine is on the same side, placing the fetal chest in the lower right quadrant.
Extract:
A nurse is caring for a client who is postoperative following a tracheostomy, and has copious and tenacious secretions.
Question 5 of 5
A nurse is caring for a client who is postoperative following a tracheostomy, and has copious and tenacious secretions. Which of the following is an acceptable method for the nurse to use to thin this client's secretions?
Correct Answer: A
Rationale: Providing humidified oxygen adds moisture to the air, which helps thin secretions in the airway, making them easier to clear, especially in patients with copious and tenacious secretions post-tracheostomy.