A client at 38-weeks gestation is admitted to the labor and delivery unit with complaints of severe abdominal pain and bright red vaginal bleeding. The client's blood pressure is 160/110 mm Hg, and the fetal heart rate is 120 beats per minute. What action should the nurse take first?

Questions 67

ATI RN

ATI RN Test Bank

Chimat Maternity Needs Assessment Questions

Question 1 of 5

A client at 38-weeks gestation is admitted to the labor and delivery unit with complaints of severe abdominal pain and bright red vaginal bleeding. The client's blood pressure is 160/110 mm Hg, and the fetal heart rate is 120 beats per minute. What action should the nurse take first?

Correct Answer: C

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 2 of 5

A client at 37-weeks gestation is admitted to the labor and delivery unit with regular contractions every 3 minutes. The client's cervix is dilated 4 cm, 80% effaced, and the fetus is at -1 station. The client reports feeling dizzy and lightheaded. What action should the nurse take first?

Correct Answer: A

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 3 of 5

A client at 38-weeks gestation is admitted to the labor and delivery unit with complaints of decreased fetal movement. The client's cervix is dilated 1 cm, 20% effaced, and the fetus is at -3 station. What action should the nurse take first?

Correct Answer: A

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 4 of 5

A 39-week gestational multigravida is admitted to labor and delivery spontaneous rupture of membranes and contraction occurring 2 to 3 minutes. A vaginal exam indicates that the cervix is dilated 6cm, 90% effaced and the fetus is at a +2 station. During the last 45 minutes the fetal heart rate has ranged between 170 and 180 beats/minute. What action should the nurse implement?

Correct Answer: B

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 5 of 5

A client who is 3 weeks postpartum tells the nurse. 'I am so tired all the time. I didn't know having a baby would be so hard.' What response should the nurse provide.

Correct Answer: A

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Access More Questions!

ATI RN Basic


$89/ 30 days

ATI RN Premium


$150/ 90 days

Similar Questions