ATI RN
ATI RN Maternal Newborn Online Practice 2019 B with NGN Questions
Extract:
Client in first stage of labor
Question 1 of 5
A nurse is caring for a client who is in the first stage of labor. Which of the following findings should the nurse identify as a cause for concern?
Correct Answer: Contractions lasting 100 seconds are excessively long, potentially causing fetal distress due to prolonged reduced uteroplacental perfusion, requiring immediate attention.
Rationale:
Extract:
Client requesting an oral contraceptive
Question 2 of 5
A nurse in a family planning clinic is caring for a client who requests an oral contraceptive. Which of the following findings in the client's history should the nurse recognize as a contraindication to oral contraceptives? (Select all that apply)
Correct Answer: Cholecystitis, hypertension, and migraine headaches are contraindications due to increased risks of gallstones, cardiovascular events, and stroke, respectively. HPV and anxiety are not contraindications.
Rationale:
Extract:
Client at end of first trimester
Question 3 of 5
A nurse is caring for a client who is pregnant and is at the end of her first trimester. The nurse should place the Doppler ultrasound stethoscope in which of the following locations to begin assessing for the fetal heart tones (FHT)?
Correct Answer: At the end of the first trimester, the uterus is low in the pelvis, so fetal heart tones are best detected just above the symphysis pubis.
Rationale:
Extract:
Client in labor with external fetal monitor, late decelerations observed
Question 4 of 5
A nurse is caring for a client who is in labor and has an external fetal monitor. The nurse observes late decelerations on the monitor strip and interprets them as indicating which of the following?
Correct Answer: Late decelerations indicate uteroplacental insufficiency, where reduced blood flow to the fetus during contractions causes a drop in fetal heart rate, requiring intervention.
Rationale:
Extract:
Client at 18 weeks of gestation, post-amniocentesis
Question 5 of 5
A nurse is caring for a client following an amniocentesis at 18 weeks of gestation. Which of the following findings should the nurse report to the provider as a potential complication?
Correct Answer: Leakage of fluid from the vagina post-amniocentesis suggests amniotic sac rupture, a serious complication risking preterm labor, requiring immediate reporting.
Rationale: