ATI RN
ATI RN Maternal Newborn Online Practice 2019 B with NGN Questions
Extract:
Client in prenatal clinic, Leopold maneuvers show round, firm, moveable part in fundus, long smooth surface on right side
Question 1 of 5
A nurse in a prenatal clinic is caring for a client. Using Leopold maneuvers, the nurse palpates a round, firm, moveable part in the fundus of the uterus and a long, smooth surface on the client's right side. In which abdominal quadrant should the nurse expect to auscultate fetal heart tones?
Correct Answer: With the fetal back on the right side, fetal heart tones are best heard in the right upper quadrant, where the fetal chest is closest to the maternal abdomen.
Rationale:
Extract:
Client in active labor, presenting part at 0 station
Question 2 of 5
A nurse is assessing a client who is in active labor and notes that the presenting part is at 0 station. Which of the following is the correct interpretation of this clinical finding?
Correct Answer: A 0 station means the lowermost fetal part is at the level of the ischial spines, indicating engagement in the pelvis during labor.
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 3 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 who is Rh negative
Question 4 of 5
A nurse is teaching a client who is Rh negative about Rho(D) immune globulin. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: Rho(D) immune globulin is administered after procedures like amniocentesis to prevent Rh sensitization in Rh-negative mothers, indicating the client's understanding.
Rationale:
Extract:
Adolescent requesting levonorgestrel contraception
Question 5 of 5
A school nurse is providing teaching to an adolescent about levonorgestrel contraception. Which of the following information should the nurse include in the teaching?
Correct Answer: Levonorgestrel is most effective when taken within 72 hours after unprotected intercourse, making this the key teaching point for emergency contraception.
Rationale: