ATI LPN
ATI LPN n105t Maternal Newborn Exam Questions
Extract:
A client who is receiving oxytocin via IV infusion following a vaginal delivery
Question 1 of 5
A nurse is assisting with the care of a client who is receiving oxytocin via IV infusion following a vaginal delivery. Which of the following findings should the nurse monitor to evaluate effectiveness of this medication?
Correct Answer: A
Rationale: Oxytocin promotes uterine contractions to prevent postpartum hemorrhage; a firm, contracted fundus indicates effectiveness.
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 a primigravida at 42 weeks of gestation and states that she thinks she is in labor
Question 3 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 client who is at 38 weeks of gestation and has heavy, red vaginal bleeding, without contractions, that started spontaneously. She is in no distress and states that she can 'feel the baby moving.'
Question 4 of 5
A nurse in a prenatal client is caring for a client who is at 38 weeks of gestation and has heavy, red vaginal bleeding, without contractions, that started spontaneously. She is in no distress and states that she can 'feel the baby moving.' The client should undergo an ultrasound to determine which of the following findings
Correct Answer: D
Rationale: Heavy, painless vaginal bleeding in late pregnancy can indicate placenta previa. Ultrasound is essential to assess placental location to rule out this potentially life-threatening condition.
Extract:
A newborn
Question 5 of 5
A nurse is collecting data from a newborn and notes a swollen area on the head that does not cross the suture line. The nurse should document this finding as which of the following?
Correct Answer: C
Rationale: A localized collection of blood between the skull and periosteum, which does not cross suture lines, is characteristic of cephalohematoma.