ATI RN
ATI RN Maternal Newborn Online Practice 2019 B with NGN Questions
Extract:
Client requesting an oral contraceptive
Question 1 of 5
A nurse in a family planning clinic is caring for a client who requests an oral contraceptive. Which of the following findings in the client's history should the nurse recognize as a contraindication to oral contraceptives? (Select all that apply)
Correct Answer: Cholecystitis, hypertension, and migraine headaches are contraindications due to increased risks of gallstones, cardiovascular events, and stroke, respectively. HPV and anxiety are not contraindications.
Rationale:
Question 2 of 5
A nurse in a family planning clinic is caring for a client who requests an oral contraceptive. Which of the following findings in the client's history should the nurse recognize as a contraindication to oral contraceptives? (Select all that apply)
Correct Answer: Cholecystitis, hypertension, and migraine headaches are contraindications due to increased risks of gallstones, cardiovascular events, and stroke, respectively. HPV and anxiety are not contraindications.
Rationale:
Extract:
Client at 38 weeks of gestation, experiencing polyhydramnios
Question 3 of 5
A nurse is caring for a client who is admitted to the maternity unit at 38 weeks of gestation and who is experiencing polyhydramnios. The nurse should understand that this diagnosis means which of the following?
Correct Answer: Polyhydramnios is defined as an excessive amount of amniotic fluid, often linked to conditions like fetal anomalies or maternal diabetes, but primarily characterized by fluid volume.
Rationale:
Extract:
Client in labor, contractions 1 min duration, 3 min frequency, fetal heart rate 130/min, maternal heart rate 128/min, blood pressure 92/54 mm Hg
Question 4 of 5
A nurse on a labor unit is admitting a client who reports painful contractions. The nurse determines that the contractions have a duration of 1 min and a frequency of 3 min. The nurse obtains the following vital signs: fetal heart rate 130/min, maternal heart rate 128/min and maternal blood pressure 92/54 mm Hg. Which of the following is the priority action for the nurse to take?
Correct Answer: Positioning with one hip elevated addresses low blood pressure, likely due to aortocaval compression, improving uteroplacental perfusion and maternal stability.
Rationale:
Extract:
Client becomes unresponsive upon delivery of the placenta
Question 5 of 5
A nurse is caring for a client who becomes unresponsive upon delivery of the placenta. Which of the following actions should the nurse take first?
Correct Answer: Determining respiratory function is the first step in the ABC (airway, breathing, circulation) assessment, critical for an unresponsive client to address life-threatening issues.
Rationale: