ATI LPN
ATI LPN n105t Maternal Newborn Exam Questions
Extract:
A client who is in the first stage of labor. The nurse observes the umbilical cord protruding from the vagina.
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: C
Rationale: This action uses gravity to relieve pressure on the umbilical cord, promoting fetal oxygenation.
Extract:
A client who is at 36 weeks of gestation and has suspected placenta previa
Question 2 of 5
A nurse is caring for a client who is at 36 weeks of gestation and has suspected placenta previa. For which of the following findings should the nurse monitor the client?
Correct Answer: B
Rationale: Characteristic finding of placenta previa due to placental placement over the cervix.
Extract:
The nurse observes on the fetal monitor a pattern of a 15-beat increase in the fetal heart rate that lasts 15 to 20 seconds.
Question 3 of 5
The nurse observes on the fetal monitor a pattern of a 15-beat increase in the fetal heart rate that lasts 15 to 20 seconds. What does this pattern indicate?
Correct Answer: D
Rationale: FHR accelerations indicate adequate oxygenation and a reactive, healthy fetal status.
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 4 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:
Question 5 of 5
What is the least amount of sensation that one perceives as pain?
Correct Answer: D
Rationale: The lowest intensity at which a person perceives a stimulus as painful.