ATI LPN
ATI PN Maternal Newborn Rn X1 Questions
Extract:
client, active labor, variable decelerations of FHR
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: C
Rationale: Variable decelerations are caused by umbilical cord compression, reducing fetal blood flow.
Question 2 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: C
Rationale: Variable decelerations are caused by umbilical cord compression, reducing fetal blood flow.
Extract:
client, vaginal birth 2 hours ago
Question 3 of 5
A nurse is assisting in the care of a client who had a vaginal birth 2 hours ago. Which of the following actions should the nurse take? (Select all that apply):
Correct Answer: B,C,D
Rationale: B, C, D: These actions assess uterine involution and bleeding. A is incorrect as massaging a firm fundus is unnecessary, and E is incorrect as terbutaline is inappropriate for a boggy fundus.
Extract:
patient, perinatal mood and anxiety disorder
Question 4 of 5
Your patient is diagnosed with perinatal mood and anxiety disorder. You know your patient understands your teaching about this when she states:
Correct Answer: D
Rationale: This statement reflects understanding that perinatal mood and anxiety disorders are common, not the patient’s fault, and treatable with support.
Extract:
client, trial of labor for vaginal birth after cesarean (TOLAC)
Question 5 of 5
A nurse is caring for a client who wants to know if it is possible to have a trial of labor for a vaginal birth after a cesarean birth (TOLAC). Which of the following statements by the nurse is appropriate?
Correct Answer: B
Rationale: The type of incision (e.g., low transverse vs. classical) determines the risk of uterine rupture during VBAC, making it a critical factor for TOLAC eligibility.