ATI RN
RN Maternal Newborn Online Practice 2019 A Questions
Question 1 of 5
The nurse is educating a client about preterm labor. What symptom should the client report immediately?
Correct Answer: B
Rationale: Lower back pain and cramping may indicate preterm labor and should be reported promptly.
Question 2 of 5
Which finding in a 36-week pregnant client is most concerning?
Correct Answer: C
Rationale: Proteinuria is a sign of preeclampsia, requiring immediate assessment.
Question 3 of 5
A client in labor reports sudden pain and bright red vaginal bleeding. What should the nurse suspect?
Correct Answer: B
Rationale: Bright red bleeding and sudden pain suggest abruptio placentae, requiring urgent intervention.
Question 4 of 5
A nurse is assessing a newborn who is 48 hours old and has a maternal history of methadone use during pregnancy. Which of the following manifestations should the nurse identify as an indication of neonatal abstinence syndrome?
Correct Answer: B
Rationale: Neonatal abstinence syndrome (NAS) occurs in newborns who were exposed to substances, such as methadone, while in the womb. Infants with NAS may exhibit excessive high-pitched crying as one of the manifestations. Other common symptoms of NAS include irritability, tremors, feeding difficulties, sweating, fever, vomiting, diarrhea, and poor weight gain. Therefore, in this case, the excessive high-pitched cry is a manifestation that the nurse should identify as an indication of neonatal abstinence syndrome.
Question 5 of 5
A nurse is caring for a client who is in the first stage of labor. The nurse observes the umbilical cord protruding from the vagina. Which of the following actions should the nurse perform first?
Correct Answer: D
Rationale: The correct action for the nurse to perform first when observing the umbilical cord protruding from the vagina during the first stage of labor is to insert a gloved hand into the vagina to relieve pressure on the cord. This is crucial to prevent compression of the cord, which could compromise oxygenation to the fetus. By gently lifting the presenting part off the cord, the nurse can help maintain blood flow and prevent fetal distress. Once the pressure on the cord is relieved, additional interventions such as preparing the client for immediate birth, covering the cord with a sterile, moist saline dressing, or positioning the client in knee-chest position may be necessary depending on the clinical situation. But the priority is to relieve pressure on the umbilical cord promptly to ensure the well-being of the fetus.