ATI RN
Chimat Maternity Needs Assessment Questions
Question 1 of 5
The nurse is caring for a client in active labor who is receiving oxytocin (Pitocin) to augment labor. The nurse notes late decelerations in the fetal heart rate. What action should the nurse take first?
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 2 of 5
A client at 36-weeks gestation is admitted to the labor and delivery unit with complaints of severe headache, visual disturbances, and epigastric pain. The client's blood pressure is 160/110 mm Hg. What action should the nurse take first?
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 3 of 5
A client at 38-weeks gestation is admitted to the labor and delivery unit with complaints of severe abdominal pain and bright red vaginal bleeding. The client's blood pressure is 160/110 mm Hg, and the fetal heart rate is 120 beats per minute. What action should the nurse take first?
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 4 of 5
A client at 36-weeks gestation is admitted to the labor and delivery unit with complaints of severe headache, visual disturbances, and epigastric pain. The client's blood pressure is 150/100 mm Hg. What condition should the nurse suspect?
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 5 of 5
A client at 37-weeks gestation is admitted to the labor and delivery unit with regular contractions every 3 minutes. The client's cervix is dilated 4 cm, 80% effaced, and the fetus is at -1 station. The client reports feeling dizzy and lightheaded. What action should the nurse take first?
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.