ATI RN
Antenatal and postnatal complications Questions
Question 1 of 5
Which instructions should the nurse include when teaching a pregnant patient with Class II heart disease?
Correct Answer: B
Rationale: The correct answer is B: Instruct her to avoid strenuous activity. For a pregnant patient with Class II heart disease, avoiding strenuous activity is crucial to prevent excessive strain on the heart. Strenuous activities can lead to increased heart rate and blood pressure, which can worsen the heart condition. Advising her to gain at least 30 lb (choice A) may put additional strain on the heart. Limiting fluid intake (choice C) can lead to dehydration, affecting blood volume and circulation. A diet high in calcium (choice D) is beneficial for overall health but is not specifically related to managing Class II heart disease during pregnancy.
Question 2 of 5
The labor nurse is admitting a patient in active labor with a history of genital herpes. On assessment, the patient reports a recent outbreak, and the nurse verifies lesions on the perineum. What is the nurse"™s next action?
Correct Answer: A
Rationale: The correct answer is A: Ask the patient when she last had anything to eat or drink. This is the correct action because the patient is in active labor with genital herpes lesions. Knowing the last time the patient had anything to eat or drink is essential in case an emergency cesarean section is needed, as the patient may need to be NPO. Option B: Taking a culture of the lesions is not the immediate priority as the patient is in active labor and the presence of lesions is already confirmed. Option C: Asking about unprotected sex is important for history taking but not the immediate next action in this scenario. Option D: Using electronic fetal surveillance is also important, but the priority in this case is assessing the patient's fasting status for potential emergency procedures.
Question 3 of 5
Several hours after delivery, a new mother expresses ambivalence regarding her infant. How will the nurse promote bonding?
Correct Answer: A
Rationale: The correct answer is A, having the mother feed the infant. This helps promote bonding through physical closeness, eye contact, and the release of oxytocin. Feeding also fosters a sense of responsibility and nurturing. Choice B may disrupt bonding by creating separation anxiety. Choice C is a comforting position but not as interactive as feeding. Choice D delays bonding and can impact the establishment of a strong maternal-infant relationship.
Question 4 of 5
Which intervention would the nurse initiate when a fetal heart pattern signifying uteroplacental insufficiency occurs?
Correct Answer: C
Rationale: The correct answer is C: Helping the client turn to the side-lying position. This intervention facilitates increased blood flow to the placenta, improving oxygenation to the fetus during uteroplacental insufficiency. The side-lying position relieves pressure on the vena cava, enhancing blood flow. Inserting a urinary catheter (A) is not indicated for addressing uteroplacental insufficiency. Administering oxygen (B) is important, but turning the client to the side is the priority as it directly improves blood flow. Encouraging panting (D) is not effective in addressing uteroplacental insufficiency.
Question 5 of 5
The nurse applies fetal and uterine monitors to the abdomen of a client in active labor. When the client has contractions, the nurse notes a 15 beats/min deceleration of the fetal heart rate below the baseline lasting 15 seconds. Which is the next nursing action?
Correct Answer: B
Rationale: The correct answer is B: Changing the maternal position. Deceleration of fetal heart rate during contractions can indicate umbilical cord compression. Changing the maternal position can relieve pressure on the cord, improving blood flow to the fetus. This action is a non-invasive and immediate intervention that can potentially improve fetal oxygenation. Calling the primary health care provider (A) can be done after addressing the immediate concern. Obtaining maternal blood pressure (C) is not the priority in this situation. Preparing for an immediate birth (D) is premature without first attempting non-invasive interventions.