ATI RN
Maternal Newborn Nclex Practice Questions Questions
Question 1 of 5
How can a nurse support a mother planning to formula-feed her newborn?
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 2 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.
Question 3 of 5
If the physician indicates shoulder dystocia during the delivery of a macrosomic fetus, how would the nurse assist?
Correct Answer: A
Rationale: In the scenario of shoulder dystocia during the delivery of a macrosomic fetus, the appropriate action for the nurse to assist would be to help the woman into the McRoberts maneuver. The McRoberts maneuver involves flexing the mother's thighs tightly against her abdomen to flatten the pelvis, allowing for more space to maneuver the baby's shoulder out from behind the pubic bone. This maneuver is often effective at resolving shoulder dystocia without the need for additional interventions such as a cesarean section or fundal pressure. It is a recommended initial step in managing shoulder dystocia and has been shown to be successful in many cases.
Question 4 of 5
A woman with a multiple fetus pregnancy asks, <What are the chances of having an uncomplicated pregnancy?= The nurse's best response is that
Correct Answer: C
Rationale: The nurse's best response would be that twins are less likely to have complications than single babies. This is because multiple pregnancies do have an increased risk of complications compared to singleton pregnancies, but within the realm of multiple pregnancies, twins typically have better outcomes compared to higher-order multiples like triplets or quadruplets. Twins are more likely to be born at term, have higher birth weights, and are less likely to experience certain complications such as prematurity-related issues. Therefore, the chances of having an uncomplicated pregnancy are generally better with twins compared to higher-order multiples.
Question 5 of 5
A woman Hydatidiform mole evacuated and is prepared for
Correct Answer: A
Rationale: The correct response is A because after a hydatidiform mole is evacuated, it is crucial for the woman to understand the importance of not becoming pregnant until after the follow-up program is completed. This is essential for monitoring her health and ensuring she does not experience any complications from the molar pregnancy. It allows healthcare providers to closely monitor her progress and provide appropriate care.