ATI RN
RN Maternal Newborn Online Practice 2023 B Questions
Question 1 of 5
A pregnant client asks why she needs to avoid lying on her back during the third trimester. What is the best response?
Correct Answer: B
Rationale: Supine positioning can compress the vena cava, reducing blood flow to the fetus.
Question 2 of 5
The nurse is monitoring a client at 36 weeks' gestation with suspected polyhydramnios. What complication is associated with this condition?
Correct Answer: C
Rationale: Excessive amniotic fluid increases the risk of cord prolapse, especially after membrane rupture.
Question 3 of 5
Which client would be at greatest risk for developing
Correct Answer: D
Rationale: Not breastfeeding has been identified as a risk factor for developing breast cancer. Breastfeeding has been shown to have a protective effect against breast cancer due to its impact on hormonal levels and breast tissue changes that occur during lactation. Therefore, compared to other options, the client who did not breastfeed would be at greater risk for developing breast cancer.
Question 4 of 5
What symptom is related to perimenopausal hormone fluctuations? Select all that apply.
Correct Answer: A,B,C
Rationale:
Question 5 of 5
The nurse is caring for a client whose labor is being augmented with Pitocin. He or she recognizes that Pitocin should be stopped immediately if there is evidence of what?
Correct Answer: A
Rationale: Pitocin is a medication commonly used to induce or augment labor by stimulating uterine contractions. It is critical for the nurse to monitor the client closely for potential adverse effects. Fetal distress is a serious concern when Pitocin is being administered. A fetal heart rate of 180 beats per minute without variability may indicate fetal distress due to uteroplacental insufficiency. This is a sign of fetal hypoxia and warrants immediate intervention, including stopping the infusion of Pitocin, repositioning the mother, administering oxygen, and notifying the healthcare provider. It is crucial for the nurse to act promptly to ensure the safety and well-being of both the fetus and the mother.