ATI RN
ATI Capstone Week 11 Exam Questions
Extract:
Question 1 of 5
A nurse in the labor and delivery unit is caring for a client who is undergoing external fetal monitoring. The nurse observes that the fetal heart rate begins to slow after the start of a contraction, and the lowest rate occurs after the peak of the contraction. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: The correct answer is A: Place the client in the lateral position. This action helps improve maternal perfusion and oxygenation to the fetus by increasing blood flow to the placenta. Placing the client in the lateral position can alleviate compression on the vena cava, which may be causing the fetal heart rate deceleration. Elevating the client's legs (
B) may not directly address the issue of decreased perfusion. Increasing the rate of maintenance IV infusion (
C) may not be necessary if the vena cava compression is the cause. Administering oxygen using a nonrebreather mask (
D) may be indicated if the fetal heart rate deceleration persists, but placing the client in the lateral position should be the initial intervention.
Question 2 of 5
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Question 3 of 5
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Question 4 of 5
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Question 5 of 5
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