ATI RN
ATI OB Maternal Newborn Nurs 4650 Questions
Extract:
Newborn's parent
Question 1 of 5
A nurse is teaching a newborn's parent to care for the umbilical cord stump. Which of the following instructions should the nurse include?
Correct Answer: C
Rationale: Sponge baths keep the cord stump dry, promoting healing and preventing infection, unlike petroleum jelly or covering with a diaper, which can retain moisture.
Extract:
Client at 40 weeks of gestation in labor with external fetal monitoring
Question 2 of 5
A nurse in the labor and delivery unit is caring for a client who is undergoing external fetal monitoring. The nurse observes that the fetal heart rate begins to slow after the start of a contraction and the lowest rate occurs after the peak of the contraction. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: Late decelerations suggest uteroplacental insufficiency; placing the client in the lateral position first improves blood flow to the fetus, addressing potential hypoxia.
Extract:
Client at 30 weeks of gestation in preterm labor
Question 3 of 5
A nurse is admitting a client who is at 30 weeks of gestation and is in preterm labor. The client has a new prescription for betamethasone and asks the nurse about the purpose of this medication. The nurse should provide which of the following explanations?
Correct Answer: D
Rationale: Betamethasone accelerates fetal lung maturity, reducing the risk of respiratory distress syndrome in preterm infants.
Extract:
Client following an amniotomy in the active phase of the first stage of labor
Question 4 of 5
A nurse is caring for a client following an amniotomy, who is now in the active phase of the first stage of labor. Which of the following actions should the nurse implement with this client?
Correct Answer: A
Rationale: A full bladder can impede fetal descent and increase discomfort, so encouraging urination every 2 hours supports labor progress.
Extract:
Client at 38 weeks of gestation with severe preeclampsia
Question 5 of 5
A nurse is completing the admission assessment of a client who is at 38 weeks of gestation and has severe preeclampsia. Which of the following is an expected finding?
Correct Answer: A
Rationale: Severe headaches are a common symptom of preeclampsia due to hypertension and cerebral edema, indicating a need for immediate management.