ATI RN
VATI Maternal Newborn Assessment Questions
Question 1 of 5
The nurse is assessing a pregnant client who reports dizziness and lightheadedness when lying on her back. What is the priority intervention?
Correct Answer: B
Rationale: Supine hypotension syndrome is relieved by positioning the client on her left side to improve blood flow.
Question 2 of 5
The nurse is monitoring a client in active labor. What finding indicates the need for immediate intervention?
Correct Answer: B
Rationale: A fetal heart rate of 90 beats/minute is bradycardia, indicating potential fetal distress.
Question 3 of 5
How would a patient who has taken Lamaze education respond when the health-care provider recommends breaking the bag of waters in early labor?
Correct Answer: C
Rationale: Lamaze encourages informed decision-making, prompting patients to ask about risks and benefits.
Question 4 of 5
A nurse is caring for a client 2 hr after a spontaneous vaginal birth and the client has saturated two perineal pads with blood in a 30-min period. Which of the following is the priority nursing intervention at this time?
Correct Answer: A
Rationale: The priority nursing intervention in this situation is to palpate the client's uterine fundus. Saturating two perineal pads with blood in a 30-minute period after childbirth is indicative of excessive postpartum bleeding, also known as postpartum hemorrhage (PPH). Palpating the uterine fundus helps the nurse assess for uterine atony, a common cause of PPH. If the fundus is boggy or not firm, it indicates that the uterus is not contracting effectively to control bleeding, which can lead to further complications if not addressed promptly. Once uterine atony is identified, other interventions such as administering oxytocic medications can be initiated to help the uterus contract and control bleeding.
Question 5 of 5
A patient is taking oral contraceptives and asks whether they will still be effective if she has diarrhea. What should the nurse respond?
Correct Answer: B
Rationale: Diarrhea can reduce the absorption of oral contraceptives, potentially making them less effective. Choice A is incorrect because food does not always affect oral contraceptive absorption. Choice C is incorrect because there is no need to stop the contraceptives, but additional methods may be recommended during diarrhea. Choice D is incorrect because diarrhea does not increase the effectiveness of oral contraceptives.