The nurse is caring for a client in active labor with late decelerations on the monitor. What is the priority nursing intervention?

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ATI Maternal Newborn Proctored Exam 2023 Quizlet Questions

Question 1 of 5

The nurse is caring for a client in active labor with late decelerations on the monitor. What is the priority nursing intervention?

Correct Answer: A

Rationale: Repositioning improves blood flow and oxygen delivery to the fetus during late decelerations.

Question 2 of 5

When evaluating cervical mucus, what is the quality of spinnbarkeit?

Correct Answer: A

Rationale: The quality of spinnbarkeit refers to the elasticity of cervical mucus. Spinnbarkeit is a term used to describe the stretchability or stretchy quality of cervical mucus during ovulation. This elasticity is an important characteristic as it indicates the fertile window for a woman trying to conceive. High levels of spinnbarkeit allow for easier passage and survival of sperm, increasing the chances of conception. The other choices (B. amount, C. clarity, D. color) do not specifically refer to the stretchability or elasticity of cervical mucus, which is what is assessed when evaluating spinnbarkeit.

Question 3 of 5

A client in labor is receiving an epidural for pain relief. What is the nurse's priority assessment immediately after the procedure?

Correct Answer: A

Rationale: Monitoring maternal blood pressure is essential to detect and manage hypotension, a common side effect of epidurals.

Question 4 of 5

A patient at 24 weeks of gestation reports that she has a glass of wine with dinner every evening. Which rationale should the nurse provide this patient regarding the necessity to eliminate alcohol intake? N R I G B.C M U S N T O

Correct Answer: A

Rationale: The correct rationale that the nurse should provide to the patient regarding the necessity to eliminate alcohol intake during pregnancy is that the fetus is placed at risk for altered brain growth. Alcohol consumption during pregnancy can lead to a condition known as Fetal Alcohol Syndrome (FAS), which is characterized by various physical and intellectual disabilities in the child. One of the major consequences of alcohol exposure during pregnancy is impaired brain development in the fetus. This can result in cognitive, behavioral, and neurological problems that may persist throughout the child's life. Therefore, it is crucial for pregnant women to completely abstain from alcohol to protect the health and well-being of the developing fetus.

Question 5 of 5

What is the recommended position for a laboring mother with variable decelerations?

Correct Answer: D

Rationale: Side-lying reduces pressure on the umbilical cord, improving fetal oxygenation.

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