ATI RN
ATI RN Maternal Newborn Online Practice 2019 B with NGN Questions
Extract:
Client at 38 weeks of gestation, in first stage of labor
Question 1 of 5
A nurse is admitting a client who is at 38 weeks of gestation and is in the first stage of labor. Which of the following assessment findings should the nurse report to the provider first?
Correct Answer: A contraction lasting 2 minutes is excessively long, risking fetal hypoxia due to reduced uterine blood flow, requiring immediate reporting.
Rationale:
Extract:
Client undergoing Leopold maneuvers
Question 2 of 5
A nurse is preparing to perform Leopold maneuvers for a client. Identify the sequence the nurse should follow. (Move the steps, placing them in the order of performance. Use all the steps.)
Correct Answer: The correct sequence is: palpate fundus (B), locate fetal back (C), palpate presenting part (D), identify head attitude (A), systematically assessing fetal position.
Rationale:
Extract:
New mother learning to use a bulb syringe
Question 3 of 5
A nurse is teaching a new mother how to use a bulb syringe to suction her newborn's secretions. Which of the following instructions should the nurse include?
Correct Answer: Stopping suctioning when the newborn's cry sounds clear indicates clear airways, ensuring effective and safe use of the bulb syringe.
Rationale:
Extract:
New parent learning about newborn safety
Question 4 of 5
A nurse is teaching a new parent about newborn safety. Which of the following instructions should the nurse include in the teaching?
Correct Answer: Checking bath water temperature with the hand prevents burns, ensuring newborn safety, unlike unsafe practices like blankets or car seat napping.
Rationale:
Extract:
Client in labor, receiving oxytocin for induction, contractions every 2 min, lasting 90 sec, strong, fetal heart rate 150/min with uniform decelerations
Question 5 of 5
A nurse on the labor and delivery unit is caring for a patient who is having induction of labor with oxytocin administered through a secondary IV line. Uterine contractions occur every 2 min, last 90 sec, and are strong to palpation. The baseline fetal heart rate is 150/min, with uniform decelerations beginning at the peak of the contraction and a return to baseline after the contraction is over. Which of the following actions should the nurse take?
Correct Answer: Uniform decelerations (late decelerations) with frequent, strong, prolonged contractions suggest uterine hyperstimulation from oxytocin, requiring discontinuation to prevent fetal distress.
Rationale: