ATI RN
ATI RN Maternal Newborn Online Practice 2019 B with NGN Questions
Extract:
Client at 29 weeks of gestation, receiving betamethasone
Question 1 of 5
A nurse is caring for a client who is experiencing preterm labor at 29 weeks of gestation and has a prescription for betamethasone. Which of the following statements should the nurse make about the indication for medication administration?
Correct Answer: Betamethasone enhances fetal lung surfactant production, improving respiratory outcomes in preterm infants, which is the primary indication.
Rationale:
Extract:
Client in labor, contractions 1 min duration, 3 min frequency, fetal heart rate 130/min, maternal heart rate 128/min, blood pressure 92/54 mm Hg
Question 2 of 5
A nurse on a labor unit is admitting a client who reports painful contractions. The nurse determines that the contractions have a duration of 1 min and a frequency of 3 min. The nurse obtains the following vital signs: fetal heart rate 130/min, maternal heart rate 128/min and maternal blood pressure 92/54 mm Hg. Which of the following is the priority action for the nurse to take?
Correct Answer: Positioning with one hip elevated addresses low blood pressure, likely due to aortocaval compression, improving uteroplacental perfusion and maternal stability.
Rationale:
Extract:
Newborn undergoing phototherapy for hyperbilirubinemia
Question 3 of 5
A nurse is caring for a newborn who is undergoing phototherapy to treat hyperbilirubinemia. Which of the following actions should the nurse take?
Correct Answer: Covering the newborn's eyes protects them from phototherapy light, preventing potential retinal damage, a critical action during treatment.
Rationale:
Extract:
Client with new prescription for combined oral contraceptives
Question 4 of 5
A nurse is teaching a client who has a new prescription for combined oral contraceptives about potential adverse effects. Which of the following findings should the nurse instruct the client to notify the provider?
Correct Answer: Shortness of breath may indicate a serious complication like a blood clot, requiring immediate provider notification, unlike common side effects like breakthrough bleeding.
Rationale:
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 5 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: