ATI PN Maternal Newborn Rn X1

Extract:

client, 32 weeks gestation, in labor

Question 1 of 5

A nurse is assisting with the care of a client who is at 32 weeks of gestation and in labor. The client asks the nurse, 'Will my baby be okay?' Which of the following responses should the nurse make?

A. You are far enough along that your baby will be just fine.B. Everyone worries about their baby while they are in labor.C. You must be feeling very scared. Tell me more about your concerns.D. We have a neonatal unit here equipped to handle emergencies.

Correct Answer: C

Rationale: This response acknowledges the clientâ€™s fear and encourages discussion, providing emotional support.

Extract:

client, 1 day postpartum, cesarean birth

Question 2 of 5

A nurse is caring for a client who is 1 day postpartum following a cesarean birth. To prevent thrombophlebitis, the nurse should include which of the following interventions in the client's plan of care?

A. Apply warm, moist soaks to the client's lower legs.B. Have the client ambulate frequently in the hallway.C. Keep the client on bed rest.D. Place pillows under the client's knees while she is resting in bed.

Correct Answer: B

Rationale: Frequent ambulation promotes venous return, reducing the risk of thrombophlebitis post-cesarean.

Extract:

client, primigravida, 40 weeks gestation, thinks she is in labor

Question 3 of 5

A nurse is assisting a nurse midwife in examining a client who is a primigravida at 40 weeks of gestation and states that she thinks she is in labor. Which of the following findings confirm that the client is in labor? (Select all that apply):

A. Amniotic fluid in the vaginal vaultB. Pain just above the navelC. Cervical dilationD. Contractions every 3 to 4 minutes

Correct Answer: A,C,D

Rationale: A, C, D: Ruptured membranes, cervical dilation, and frequent contractions confirm labor. B is incorrect as labor pain is typically in the lower abdomen or back.

Extract:

client, trial of labor for vaginal birth after cesarean (TOLAC)

Question 4 of 5

A nurse is caring for a client who wants to know if it is possible to have a trial of labor for a vaginal birth after a cesarean birth (TOLAC). Which of the following statements by the nurse is appropriate?

A. It is too soon for you to be worrying about that now.B. The primary consideration for a safe attempt at a vaginal birth after cesarean (VBAC) is what type of incision you had.C. There are so many variables and I don't have time to explain them all to you, so you will have to ask your provider later.D. A repeat cesarean section would be safer for both you and your baby.

Correct Answer: B

Rationale: The type of incision (e.g., low transverse vs. classical) determines the risk of uterine rupture during VBAC, making it a critical factor for TOLAC eligibility.

Extract:

client, 36 weeks gestation, suspected placenta previa

Question 5 of 5

A nurse is caring for a client who is at 36 weeks of gestation and has suspected placenta previa. Which of the following findings should the nurse expect?

A. Severe abdominal pain with increasing fundal heightB. A large amount of bright red vaginal bleeding without painC. Intermittent abdominal pain following passage of bloody mucusD. Abdominal pain with minimal red vaginal bleeding

Correct Answer: B

Rationale: Placenta previa typically causes painless, bright red vaginal bleeding due to placental positioning over the cervical os.

ATI PN Maternal Newborn Rn X1 | Nurselytic

Nurselytic

ATI LPN

ATI LPN