ATI RN
ATI RN Maternal Newborn Online Practice 2019 B with NGN Questions
Extract:
Client in labor, reports increasing rectal pressure, contractions 2 to 3 min apart, lasting 80 to 90 seconds, cervix dilated to 9 cm
Question 1 of 5
A nurse is caring for a client who is in labor and reports increasing rectal pressure. She is experiencing contractions 2 to 3 min apart, each lasting 80 to 90 seconds, and a vaginal examination reveals that her cervix is dilated to 9 cm. The nurse should identify that the client is in which of the following phases of labor?
Correct Answer: The transition phase occurs when the cervix is dilated from 8 to 10 cm, with strong contractions every 2 to 3 minutes, lasting 80 to 90 seconds, and increasing rectal pressure due to fetal descent, as seen with the client's 9 cm dilation.
Rationale:
Extract:
Client who is 2 hr postpartum
Question 2 of 5
A nurse is planning care for a client who is 2 hr postpartum. Which of the following interventions should the nurse plan to implement during the taking-hold phase of postpartum behavioral adjustment?
Correct Answer: During the taking-hold phase, the mother is alert and ready to learn newborn care. Demonstrating a newborn bath supports her active engagement and confidence in caregiving, aligning with this phase's focus.
Rationale:
Extract:
Client in labor, umbilical cord protruding from the vagina
Question 3 of 5
A nurse is performing a vaginal examination on a client who is in labor and observes the umbilical cord protruding from the vagina. Which of the following actions should the nurse take first?
Correct Answer: Applying internal upward pressure with two gloved fingers relieves cord compression, restoring fetal blood flow and preventing hypoxia, making it the priority action for umbilical cord prolapse.
Rationale:
Extract:
Client in labor, requesting epidural anesthesia
Question 4 of 5
A nurse is planning care for a client who is in labor and is requesting epidural anesthesia for pain control. Which of the following actions should the nurse include in the plan of care?
Correct Answer: Monitoring blood pressure every minute after the first epidural dose is critical to detect hypotension, a common side effect, ensuring timely intervention to protect maternal and fetal well-being.
Rationale:
Extract:
Client at 24 weeks of gestation, preparing for a 1-hr glucose tolerance test
Question 5 of 5
A nurse is teaching a client who is at 24 weeks of gestation regarding a 1-hr glucose tolerance test. Which of the following statements should the nurse include in the teaching?
Correct Answer: A blood glucose level of 130 to 140 mg/dL is considered a positive screening result for the 1-hour glucose tolerance test, indicating the need for further testing to diagnose gestational diabetes.
Rationale: