ATI RN
ATI OB Maternal Newborn Nurs 4650 Questions
Extract:
Client in labor with epidural anesthesia
Question 1 of 5
A nurse is assessing a client in labor who has had epidural anesthesia for pain relief. Which of the following findings should the nurse identify as a complication from the epidural block?
Correct Answer: A
Rationale: Hypotension is a common epidural complication due to sympathetic nerve blockade, requiring prompt intervention.
Extract:
Client who is postpartum
Question 2 of 5
A nurse is caring for a client who is postpartum who asks the nurse when her breast milk will 'come in.' Which of the following responses should the nurse make?
Correct Answer: D
Rationale: Mature breast milk typically transitions from colostrum around 3 to 5 days postpartum, supporting newborn nutrition.
Extract:
Client at 40 weeks of gestation in labor with external fetal monitoring
Question 3 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: D
Rationale: Late decelerations suggest uteroplacental insufficiency; placing the client in the lateral position first improves blood flow to the fetus, addressing potential hypoxia.
Extract:
Client who just delivered a newborn
Question 4 of 5
A nurse is caring for a client who just delivered a newborn. Following the delivery, the mother asks, 'How will I know to care for the newborn?'
Correct Answer: A
Rationale: Drying and covering the newborn prevents heat loss, a critical immediate care step post-delivery.
Extract:
Client who experienced abruptio placentae with petechiae and bleeding around the IV access site
Question 5 of 5
A nurse on the obstetric unit is caring for a client who experienced abruptio placentae. The nurse observes petechiae and bleeding around the IV access site. The nurse should recognize that this client is at risk for which of the following complications?
Correct Answer: D
Rationale: Petechiae and bleeding suggest disseminated intravascular coagulation, a complication of abruptio placentae due to excessive clotting and bleeding.