ATI RN
Maternal Newborn Practice Questions Questions
Question 1 of 9
A nurse is caring for a client who is in premature labor and is receiving terbutaline. The nurse should monitor the client for which of the following adverse effects that should be reported to the provider?
Correct Answer: C
Rationale: Terbutaline is a beta-adrenergic agonist that is commonly used to suppress preterm labor by relaxing the uterine smooth muscle. Adverse effects of terbutaline can include respiratory distress or dyspnea, which is a serious concern and should be reported to the healthcare provider immediately. Both the nurse and the client should be alert for signs of difficulty breathing, such as shortness of breath or chest tightness, as these symptoms could indicate a potential serious reaction to the medication. Headaches, nervousness, and tremors are common side effects of terbutaline that are less concerning and may not require immediate provider notification unless they become severe or persistent.
Question 2 of 9
What education should a nurse provide for safe sleeping practices for a newborn?
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 3 of 9
A nurse is caring for a client who is gravida 3, para 2, and is in active labor. The fetal head is at 3+ station after a vaginal examination. Which of the following actions should the nurse take
Correct Answer: C
Rationale: Observing for crowning is the appropriate action for the nurse to take when the fetal head is at 3+ station after a vaginal examination. Crowning refers to the appearance of the baby's head at the vaginal opening during delivery. This indicates that the baby is descending and will be born soon. It is important for the nurse to be prepared for the actual birth once crowning is observed, as it signifies that the second stage of labor is progressing and delivery is imminent. Applying fundal pressure, observing for a nuchal cord, or preparing to administer oxytocin are not appropriate actions at this stage of labor when crowning has been observed.
Question 4 of 9
What is the recommended position for a laboring mother with variable decelerations?
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 5 of 9
A client has just given birth, during labor the fetus was in brow presentation, but after prolonged laboring the fetus convert to occiput presentation and was delivered vaginally by vacuum extraction
Correct Answer: A
Rationale: In this scenario, it is important to explain to the client what happened during labor and delivery. It is essential to communicate that the fetus was in a brow presentation initially, which can sometimes lead to complications during labor. However, the fetus converted to occiput presentation and was successfully delivered vaginally with the help of vacuum extraction. Providing this information to the client helps in ensuring transparency and understanding of the events that occurred, addressing any concerns or questions they may have about the delivery process.
Question 6 of 9
A client in labor is receiving an epidural for pain relief. What is the nurse's priority assessment immediately after the procedure?
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 7 of 9
The nurse is performing Leopold's maneuvers on a client in labor. What is the primary purpose of this assessment?
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 8 of 9
Which newborn is at higher risk for developing hypoglycemia? SATA
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 9 of 9
The nurse is educating a client about iron supplements during pregnancy. Which statement indicates understanding?
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.