The nurse is caring for a client in the second stage of labor. What assessment indicates that birth is imminent?

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ATI Maternal Newborn Proctored Exam 2024 Questions

Question 1 of 5

The nurse is caring for a client in the second stage of labor. What assessment indicates that birth is imminent?

Correct Answer: B

Rationale: Crowning occurs when the fetal head becomes visible at the vaginal opening, indicating that birth is imminent.

Question 2 of 5

A pregnant client asks about the purpose of an ultrasound at 20 weeks' gestation. What is the best response?

Correct Answer: C

Rationale: The 20-week ultrasound is primarily for assessing fetal anatomy, growth, and development.

Question 3 of 5

The nurse is educating a client about postpartum care. What statement indicates the need for further teaching?

Correct Answer: B

Rationale: Heavy bleeding for two weeks is not normal and may indicate postpartum complications.

Question 4 of 5

A client at 32 weeks' gestation reports regular uterine contractions every 10 minutes. What is the nurse's priority action?

Correct Answer: C

Rationale: Assessing cervical changes and fetal heart rate is essential to determine whether the client is in preterm labor.

Question 5 of 5

The nurse is caring for a client in labor with an epidural. What assessment is most important immediately after placement?

Correct Answer: C

Rationale: Maternal blood pressure monitoring is essential to detect and manage hypotension caused by epidural anesthesia.

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