ATI PN Maternal Newborn Rn X1 | Nurselytic

Questions 47

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ATI PN Maternal Newborn Rn X1 Questions

Extract:

client, active labor, late decelerations on fetal monitor


Question 1 of 5

A nurse is assisting in the care of a client who is in active labor. The nurse notes late decelerations on the fetal monitor tracing. Which of the following actions should the nurse take FIRST?

Correct Answer: D

Rationale: Positioning the client on her side improves uterine blood flow, addressing late decelerations caused by uteroplacental insufficiency, and is the first action to take.

Extract:

client, 38 weeks gestation, biophysical profile score of 10


Question 2 of 5

A nurse is caring for a client who is at 38 weeks of gestation and has a score of 10 on her biophysical profile. Which of the following actions should the nurse take?

Correct Answer: B

Rationale: A biophysical profile score of 10 is normal, indicating fetal well-being, so reassurance is appropriate.

Extract:

client, active labor, variable decelerations of FHR


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: C

Rationale: Variable decelerations are caused by umbilical cord compression, reducing fetal blood flow.

Extract:

client, epidural anesthesia, BP 80/40 mm Hg, fetal heart rate 100 beats/min


Question 4 of 5

A nurse is assisting with the care of a client who had an epidural anesthesia block during the early stages of labor. The client's blood pressure is 80/40 mm Hg and the fetal heart recording is 100 beats/min. Which of the following actions should the nurse take first?

Correct Answer: D

Rationale: A lateral position relieves vena cava compression, improving maternal BP and fetal perfusion, addressing hypotension and fetal bradycardia.

Extract:

newborn, umbilical cord


Question 5 of 5

A nurse is caring for a newborn. How many blood vessels should the nurse expect to observe in the newborn's umbilical cord?

Correct Answer: D

Rationale: The umbilical cord typically contains two arteries and one vein, which the nurse should confirm to ensure no anomalies.

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