ATI RN Maternal Newborn 2023 III | Nurselytic

Questions 67

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ATI RN Maternal Newborn 2023 III Questions

Extract:

A nurse is caring for a client who is in labor. The nurse observes late decelerations of the fetal heart rate on the external fetal monitor. After placing the client in a side-lying position.


Question 1 of 5

Which of the following actions should the nurse take?

Correct Answer: D

Rationale: Administering oxygen via a face mask increases maternal oxygen saturation, improving fetal oxygenation in response to late decelerations, which indicate fetal hypoxia.

Extract:

A nurse is caring for a client who is taking an oral contraceptive.


Question 2 of 5

What findings should the client report to the provider immediately?

Correct Answer: D

Rationale: Severe abdominal pain could indicate a serious issue like a blood clot or liver disease, requiring immediate reporting when on oral contraceptives.

Extract:

A nurse is caring for a newborn who was born at 39 weeks of gestation and is 36 hours old. The newborn has a Coombs positive result and a glucose level of 50 mg/dL (40 to 60 mg/dL).


Question 3 of 5

What should the nurse anticipate?

Correct Answer: D

Rationale: A Coombs positive result suggests potential hemolysis, requiring monitoring for jaundice, a common complication.

Extract:

A nurse is caring for a postpartum client who just delivered a newborn weighing 4.5 kg (10 lb).


Question 4 of 5

Which of the following signs should the nurse recognize as a potential indication of hemorrhage?

Correct Answer: A

Rationale: A blood pressure of 88/40 mm Hg indicates hypotension, a common sign of significant blood loss such as postpartum hemorrhage, especially after delivering a large newborn which increases risk.

Extract:

A nurse is assisting the provider to administer a dinoprostone insert to induce labor for a client.


Question 5 of 5

What actions should the nurse take?

Correct Answer: C

Rationale: Verifying informed consent ensures the client understands the procedure's risks and benefits, a legal and ethical requirement before dinoprostone administration.

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