ATI RN
RN Maternal Newborn Online Practice 2023 B Questions
Question 1 of 5
What symptom is related to perimenopausal hormone fluctuations? Select all that apply.
Correct Answer: A,B,C
Rationale:
Question 2 of 5
During which cycle day of a typical 28-day menstrual cycle does the follicular phase occur?
Correct Answer: A
Rationale: The follicular phase is the first phase of the menstrual cycle, during which the follicles in the ovaries mature in preparation for ovulation. In a typical 28-day menstrual cycle, the follicular phase occurs from cycle days 1 to 14. Ovulation usually takes place around day 14, marking the end of the follicular phase and the beginning of the luteal phase. During the follicular phase, the levels of estrogen gradually increase, stimulating the thickening of the uterine lining and the development of a dominant follicle containing the egg that will be released at ovulation.
Question 3 of 5
Which intervention is most critical for a mother with a uterine atony postpartum?
Correct Answer: A
Rationale: Performing uterine massage helps contract the uterus and reduce bleeding in uterine atony.
Question 4 of 5
A pregnant client asks why she needs to avoid lying on her back during the third trimester. What is the best response?
Correct Answer: B
Rationale: Supine positioning can compress the vena cava, reducing blood flow to the fetus.
Question 5 of 5
A nurse is caring for a client who is receiving oxytocin for induction of labor and notes late decelerations of the fetal heart rate on the monitor Tracing. Which of the following action should the nurse take?
Correct Answer: B
Rationale: Late decelerations of the fetal heart rate can indicate uteroplacental insufficiency, which may be a result of decreased oxygen supply to the fetus. Placing the client in a lateral position can help enhance uteroplacental perfusion by relieving pressure on the vena cava and improving maternal blood flow to the placenta. This position change can help improve fetal oxygenation and decrease the occurrence of late decelerations. Other actions such as administering oxygen and assessing for other contributing factors should also be done, but placing the client in a lateral position is the most appropriate immediate intervention in this scenario.