ATI RN
ATI Custom Maternal Newborn Questions
Extract:
Client in latent phase of labor for 12 hours, requesting medication to rest
Question 1 of 5
A client in latent phase of labor for the past 12 hours is requesting medication to help her rest.
Correct Answer: A
Rationale: Fentanyl is a fast-acting opioid suitable for pain relief and sedation in labor, with less risk of prolonged effects compared to other options.
Extract:
Client receiving oxytocin (Pitocin) infusion
Question 2 of 5
The priority nursing care associated with an oxytocin (Pitocin) infusion is:
Correct Answer: D
Rationale: Monitoring uterine response is critical as oxytocin can cause excessive contractions, risking fetal distress, uterine rupture, or placental abruption.
Extract:
Client at 40 weeks gestation, in labor, electronic fetal heart rate monitor tracing
Question 3 of 5
A nurse is observing the electronic fetal heart rate monitor tracing for a client who is at 40 weeks of gestation and is in labor. The nurse should suspect a problem with the umbilical cord when she observes which of the following patterns?
Correct Answer: C
Rationale: Variable decelerations indicate fetal hypoxia due to umbilical cord compression, requiring urgent intervention as they suggest the cord is trapped or twisted, impairing fetal oxygen supply.
Extract:
Early postpartum woman
Question 4 of 5
Which maternal event is abnormal in the early postpartum period?
Correct Answer: B
Rationale: Extreme hunger and thirst may indicate abnormal blood sugar levels or metabolic issues, requiring further evaluation, unlike the other normal postpartum events.
Extract:
Client in active labor, 7 cm cervical dilation, 100% effacement, fetus at 1+ station, amniotic membranes intact, sudden urge to push
Question 5 of 5
A nurse is caring for a client who is in active labor with 7 cm of cervical dilation and 100% effacement. The fetus is at 1+ station, and the client's amniotic membranes are intact. The client suddenly states that she needs to push. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Encouraging the client to pant during contractions helps reduce the urge to push when not fully dilated, preventing complications like cervical swelling or tearing.