ATI RN
ATI Maternal Newborn 2019 with NGN Questions
Extract:
Client with last menstrual period starting August 10
Question 1 of 5
A nurse is calculating the estimated date of delivery for a client who reports that the first day of her last menstrual period was August 10. Using Nägele's Rule, which of the following is the client's estimated date of delivery?
Correct Answer: A
Rationale: Using Nägele's Rule, subtract 3 months from August 10 (May 10), add 7 days (May 17), and add 1 year, resulting in an estimated delivery date of May 17.
Extract:
Client receiving oxytocin for labor induction with late decelerations on fetal heart rate tracing
Question 2 of 5
A nurse is caring for a client who is receiving oxytocin for induction of labor and notes late decelerations of the fetal heart rate on the monitor tracing. which of the following actions should the nurse take?
Correct Answer: D
Rationale: Placing the client in a lateral position improves uteroplacental blood flow, addressing late decelerations, which indicate potential fetal distress due to reduced oxygenation.
Extract:
Client 1 day postpartum and breastfeeding with sore nipples
Question 3 of 5
A nurse is caring for a client who is 1 day postpartum and breastfeeding her newborn. The client reports sore nipples. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Assessing the newborn's latch is the most appropriate action, as sore nipples are commonly caused by an improper latch, which can be corrected with education and support to prevent further trauma.
Extract:
Newborn immediately following birth with a large amount of mucus in mouth and nose
Question 4 of 5
A nurse is caring for a newborn immediately following birth and notes a large amount of mucus in the newborn's mouth and nose. Identify the sequence the nurse should follow when performing suction with a bulb syringe.
Correct Answer: B,D,C,A
Rationale: The correct sequence is: compress the bulb syringe, place it in the newborn's mouth, suction the nose, and assess for reflex bradycardia. This order clears the airway effectively while minimizing the risk of aspiration and vagal stimulation.
Extract:
Client in active labor receiving oxytocin with internal fetal heart monitor showing early deceleration
Question 5 of 5
A nurse is caring for a client who is in active labor and is receiving oxytocin via IV infusion. The nurse has applied an internal fetal heart monitor and recognizes an early deceleration of the fetal heart rate tracing. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Early decelerations are benign, caused by fetal head compression during contractions, and do not indicate distress, so continuing to monitor the client is appropriate.