ATI RN
ATI OB Maternal Newborn Nurs 4650 Questions
Extract:
Newborn immediately following a scheduled cesarean delivery
Question 1 of 5
A nurse is assessing a newborn immediately following a scheduled cesarean delivery. Which of the following assessments is the nurse's priority?
Correct Answer: B
Rationale: Respiratory distress is the priority assessment post-cesarean to ensure adequate newborn oxygenation.
Extract:
Client at 40 weeks of gestation in labor with suspected placenta previa, reports saturated pads
Question 2 of 5
A nurse is caring for a client who is in labor at 40 weeks of gestation and reports that she has saturated two pads with blood. The nurse caring for her suspects placenta previa. Which of the following is an appropriate nursing action?
Correct Answer: A
Rationale: Placenta previa often requires cesarean birth to prevent severe bleeding, as vaginal delivery can exacerbate hemorrhage.
Extract:
Client in active labor with 7 cm cervical dilation, 100% effacement, fetus at +1 station, intact membranes
Question 3 of 5
A nurse is caring for a client who is in active labor with 7 cm of cervical dilation and 100% effacement. The fetus is at 1+ station, and the client's amniotic membranes are intact. The client suddenly states that she needs to push. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Panting prevents pushing before full dilation (10 cm), avoiding cervical edema and labor complications.
Extract:
Client in labor with epidural anesthesia, BP 80/40 mmHg, fetal heart rate 140/min
Question 4 of 5
A nurse is caring for a client who is in labor and has an epidural anesthesia block. The client's blood pressure is 80/40mmHg and the fetal heart rate is 140/min. Which of the following is the priority nursing action?
Correct Answer: B
Rationale: Hypotension from epidural anesthesia requires lateral positioning to improve maternal and fetal circulation.
Extract:
Woman contemplating pregnancy
Question 5 of 5
A nurse is instructing a woman who is contemplating pregnancy about nutritional needs. To reduce the risk of giving birth to a newborn who has a neural tube defect, which of the following information should the nurse include in the teaching?
Correct Answer: C
Rationale: Folic acid reduces neural tube defect risk by supporting early neural tube formation in the fetus.