ATI LPN
ATI LPN n105t Maternal Newborn Exam Questions
Extract:
A client who is in active labor
Question 1 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:
A client who is in labor and has an external electronic fetal monitor. The nurse observes that the fetal heart rate begins to decelerate after the contraction has started, with the lowest point of the deceleration occurring after the peak of the contraction.
Question 2 of 5
A nurse is assisting with the care of a client who is in labor and has an external electronic fetal monitor. The nurse observes that the fetal heart rate begins to decelerate after the contraction has started, with the lowest point of the deceleration occurring after the peak of the contraction. Which of the following actions should the nurse take first?
Correct Answer: C
Rationale: Lateral positioning improves uteroplacental blood flow and is the priority intervention for late decelerations.
Extract:
A client who is in labor
Question 3 of 5
A nurse is reinforcing teaching with a client who is in labor about why epidural anesthesia is not initiated until a good labor pattern has been established. Which of the following explanations should the nurse include?
Correct Answer: B
Rationale: Administering an epidural too early can reduce the effectiveness of contractions and delay cervical dilation.
Extract:
A woman in the transition phase of labor
Question 4 of 5
A woman in the transition phase of labor requests a narcotic analgesic medication for pain relief. What should the nurse explain regarding giving a narcotic analgesic medication at this stage of labor?
Correct Answer: C
Rationale: Narcotics given close to delivery can depress the newborn's respiratory efforts.
Extract:
A client who is in labor and has the urge to push
Question 5 of 5
A nurse is assisting with the care of a client who is in labor and has the urge to push. Which of the following instructions should the nurse give the client?
Correct Answer: D
Rationale: Encourages effective pushing during the peak of contractions for optimal outcomes.