ATI RN
ATI RN Maternal Newborn Online Practice 2019 B with NGN Questions
Extract:
Client in active labor, presenting part at 0 station
Question 1 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 with a new prescription for dinoprostone gel
Question 2 of 5
A nurse in a prenatal clinic is teaching a client who has a new prescription for dinoprostone gel. Which of the following statements should the nurse include in the teaching?
Correct Answer: Dinoprostone promotes cervical ripening by softening the cervix, preparing it for labor induction, which is the key teaching point.
Rationale:
Extract:
Client in labor, undergoing amniotomy
Question 3 of 5
A DDA nurse is planning care for a client who is in labor and is to have an amniotomy. Which of the following assessments should the nurse identify as the priority?
Correct Answer: Monitoring temperature is the priority post-amniotomy to detect infection, indicated by a temperature of 38°C or higher, which requires immediate reporting
Rationale:
Extract:
Client in active labor, late decelerations in FHR
Question 4 of 5
A nurse is caring for a client who is in active labor and notes late decelerations in the FHR. Which of the following actions should the nurse take first?
Correct Answer: Changing the client's position, typically to a side-lying position, is the first action to relieve vena cava compression, improving uteroplacental perfusion and addressing late decelerations.
Rationale:
Extract:
Client who is 3 days postpartum
Question 5 of 5
A nurse is planning discharge for a client who is 3 days postpartum. Which of the following nonpharmacological interventions should the nurse include in the plan of care for lactation suppression?
Correct Answer: Applying cabbage leaves reduces engorgement and suppresses lactation, a proven nonpharmacological method for clients not breastfeeding.
Rationale: