ATI LPN
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.