ATI RN
ATI RN VATI Maternal Newborn Questions
Extract:
Client in active labor with back labor pains
Question 1 of 5
A nurse is assessing a client who is in active labor. The client reports back labor pains. Which of the following nonpharmacological interventions should the nurse provide to manage the client's pain?
Correct Answer: C
Rationale: Sacral counterpressure directly relieves back labor pain by counteracting discomfort in the sacral area.
Extract:
28-year-old female in fourth stage of labor, boggy fundus, heavy lochia rubra
Question 2 of 5
A nurse is caring for a 28-year-old female client in the labor and delivery unit who is in the fourth stage of labor. The nurse should first monitor the client's __ followed by the client's __.
Correct Answer: A,B
Rationale: Monitoring fundal tone addresses uterine atony, a cause of hemorrhage, followed by blood pressure to detect hypovolemic shock.
Extract:
Client at 40 weeks of gestation, negative CST
Question 3 of 5
A nurse is performing a contraction stress test (CST) on a client who is at 40 weeks of gestation. The results of the test indicate a negative CST. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: A negative CST indicates no fetal distress, allowing labor to progress naturally.
Extract:
Client in active labor, scheduled for epidural anesthesia
Question 4 of 5
A nurse is caring for a client who is in active labor and is scheduled to receive epidural anesthesia. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: A fluid bolus prevents hypotension from epidural-induced vasodilation.
Extract:
2-day-old newborn with bilirubin level of 14 mg/dL
Question 5 of 5
A nurse is caring for a 2-day-old newborn who has a bilirubin level of 14 mg/dL (1 to 12 mg/dL) and is to begin phototherapy. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Monitoring intake and output ensures hydration and assesses phototherapy effectiveness in reducing bilirubin levels.