ATI LPN
ATI LPN n105t Maternal Newborn Exam Questions
Extract:
A client who is a primigravida at 42 weeks of gestation and states that she thinks she is in labor
Question 1 of 5
A nurse is assisting a nurse midwife in examining a client who is a primigravida at 42 weeks of gestation and states that she thinks she is in labor. Which of the following findings confirm that the client is in labor?
Correct Answer: D
Rationale: Cervical dilation is the definitive sign of labor as it indicates the cervix is opening to allow delivery.
Extract:
A laboring woman
Question 2 of 5
What does the nurse note when measuring the frequency of a laboring woman's contractions?
Correct Answer: D
Rationale: This is the standard way to measure contraction frequency.
Extract:
A client who is in active labor
Question 3 of 5
A nurse is assisting in the care of a client who is in active labor. The nurse notes variable decelerations of the FHR. The nurse should identify which of the following as a cause of variable decelerations?
Correct Answer: D
Rationale: Variable decelerations are due to compression of the umbilical cord, which affects fetal oxygenation.
Extract:
The nurse observes on the fetal monitor a pattern of a 15-beat increase in the fetal heart rate that lasts 15 to 20 seconds.
Question 4 of 5
The nurse observes on the fetal monitor a pattern of a 15-beat increase in the fetal heart rate that lasts 15 to 20 seconds. What does this pattern indicate?
Correct Answer: D
Rationale: FHR accelerations indicate adequate oxygenation and a reactive, healthy fetal status.
Extract:
A client who is multigravida and 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.
Question 5 of 5
A nurse is assisting with the care of a client who is multigravida and 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 is the appropriate nursing response?
Correct Answer: D
Rationale: Panting helps the patient avoid pushing before full dilation is achieved, reducing the risk of complications such as cervical lacerations or fetal distress.