ATI LPN
ATI LPN n105t Maternal Newborn Exam Questions
Extract:
A client who is multigravida and in active labor with 7 cm of cervical dilation and 100% effacement. The fetus is at 1+ station, and the client's amniotic membranes are intact. The client suddenly states that she needs to push.
Question 1 of 5
A nurse is assisting with the care of a client who is multigravida and in active labor with 7 cm of cervical dilation and 100% effacement. The fetus is at 1+ station, and the client's amniotic membranes are intact. The client suddenly states that she needs to push. Which of the following is the appropriate nursing response?
Correct Answer: D
Rationale: Panting helps the patient avoid pushing before full dilation is achieved, reducing the risk of complications such as cervical lacerations or fetal distress.
Extract:
A woman in the transition phase of labor
Question 2 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 laboring woman
Question 3 of 5
What does the nurse note when measuring the frequency of a laboring woman's contractions?
Correct Answer: D
Rationale: This is the standard way to measure contraction frequency.
Extract:
A client who is at 32 weeks of gestation and in labor
Question 4 of 5
A nurse is assisting with the care of a client who is at 32 weeks of gestation and in labor. The client asks the nurse, 'Will my baby be okay?' Which of the following responses should the nurse make?
Correct Answer: B
Rationale: Acknowledges and validates the client's emotions, fostering therapeutic communication.
Extract:
A client who is in labor
Question 5 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.