ATI LPN
ATI PN Maternal Newborn Rn X1 Questions
Extract:
client, first stage of labor, umbilical cord protruding
Question 1 of 5
A nurse is assisting with the care of a client who is in the first stage of labor. The nurse observes the umbilical cord protruding from the vagina. Which of the following actions should the nurse take FIRST?
Correct Answer: B
Rationale: Relieving cord compression by positioning and elevating the presenting part is the priority to prevent fetal hypoxia.
Extract:
client, active labor, variable decelerations of FHR
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, preterm labor, 30 weeks gestation, betamethasone
Question 3 of 5
A nurse is assisting with the admission of a client who is in preterm labor at 30 weeks of gestation and has a new prescription for betamethasone. Which of the following statements should the nurse make?
Correct Answer: D
Rationale: Betamethasone enhances fetal lung maturity, reducing the risk of respiratory distress syndrome in preterm infants.
Extract:
client, 4 hr postpartum, lochia rubra, fundus midline and firm
Question 4 of 5
A nurse is caring for a client who is 4 hr postpartum. The nurse finds a small amount of lochia rubra on the client's perineal pad. The fundus is midline and firm at one fingerbreadth above the umbilicus. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Checking for blood under the buttock ensures no hidden bleeding, as pads may not capture all lochia, despite a firm, midline fundus.
Extract:
client, 36 weeks gestation, suspected placenta previa
Question 5 of 5
A nurse is caring for a client who is at 36 weeks of gestation and has suspected placenta previa. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: Placenta previa typically causes painless, bright red vaginal bleeding due to placental positioning over the cervical os.