ATI RN
RN Maternal Newborn Online Practice 2019 A Questions
Question 1 of 5
The nurse is assessing a client with suspected gestational hypertension. What finding supports this diagnosis?
Correct Answer: A
Rationale: Gestational hypertension is diagnosed with a blood pressure of 140/90 mmHg or higher without proteinuria.
Question 2 of 5
A patient who was diagnosed prenatally as having epidural for pain management. What should the greater than 2,000 mL of amniotic fluid just deliv- nurse be prepared to do? Select all that apply. ered a 9 lb (4,082 g) baby girl. Her nurse is aware
Correct Answer: A
Rationale: A. Assess maternal vital signs: With the delivery of a baby with macrosomia (greater than 4,000 g), the mother is at risk for postpartum hemorrhage due to uterine atony, retained placental fragments, or lacerations. Therefore, assessing maternal vital signs is crucial in detecting any signs of hemorrhage promptly.
Question 3 of 5
A client in labor is receiving epidural anesthesia. What is the priority nursing intervention?
Correct Answer: C
Rationale: Frequent monitoring of maternal blood pressure is essential to detect and manage hypotension caused by epidural anesthesia.
Question 4 of 5
The nurse is monitoring a client receiving oxytocin for labor induction. What finding requires the nurse to take immediate action?
Correct Answer: C
Rationale: A fetal heart rate of 180 bpm indicates tachycardia, which may suggest fetal distress requiring immediate intervention.
Question 5 of 5
A client at 36 weeks' gestation reports decreased fetal movement. What is the nurse's priority action?
Correct Answer: A
Rationale: A nonstress test evaluates fetal well-being and is the first step in assessing decreased fetal movement.