ATI RN
External Maternal Monitoring Questions
Question 1 of 5
A nurse is caring for a laboring person who is experiencing fetal tachycardia. What is the most appropriate intervention?
Correct Answer: A
Rationale: Correct Answer: A: Administer oxygen Rationale: Fetal tachycardia indicates the fetus is not getting enough oxygen. Administering oxygen to the laboring person will help increase oxygen levels in their blood, leading to better oxygen supply to the fetus and potentially improving the fetal heart rate. Summary of Other Choices: B: Administering IV fluids may be helpful in some cases, but it is not the priority when dealing with fetal tachycardia. C: While monitoring maternal vital signs is important, addressing the fetal tachycardia and oxygen supply to the fetus takes precedence. D: Continuous monitoring of fetal heart rate is essential, but administering oxygen should be the immediate intervention to address the underlying issue of oxygen deficiency.
Question 2 of 5
A nurse is caring for a postpartum person who is breastfeeding. What is the most important intervention to prevent nipple trauma?
Correct Answer: B
Rationale: The correct answer is B: offer pain relief. Providing pain relief is crucial in preventing nipple trauma as it can help the postpartum person tolerate any discomfort associated with breastfeeding, thereby reducing the likelihood of damage to the nipples. Assisting with breastfeeding positioning (choice A) is important but not as critical as pain relief. Applying a cold compress (choice C) may help with inflammation but does not directly address the pain during breastfeeding. Monitoring contractions (choice D) is unrelated to preventing nipple trauma. Ultimately, addressing pain relief is the most effective intervention in ensuring successful and comfortable breastfeeding, thus preventing nipple trauma.
Question 3 of 5
A nurse is preparing a laboring person for an epidural. What is the most important nursing action before the procedure?
Correct Answer: A
Rationale: The correct answer is A: ensure informed consent is signed. Before any procedure, obtaining informed consent is essential to ensure the laboring person understands the risks, benefits, and alternatives of the epidural. This helps promote autonomy and respect for the individual's decision-making. Administering pain medication (choice B), IV fluids (choice C), or an analgesic (choice D) without informed consent is not ethical and violates the principle of autonomy. The focus should be on providing comprehensive information and obtaining consent before proceeding with the intervention.
Question 4 of 5
Where is the usual location for implantation of the zygote?
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 5 of 5
At what point in prenatal development do the lungs begin to produce surfactant?
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.