ATI RN
ATI Maternal Newborn Final Exam moitoso Questions
Extract:
28-year-old, 38 weeks gestation, decreased fetal movement, FHR 140 bpm, moderate variability, no accelerations or decelerations.
Question 1 of 5
A nurse is caring for a 28-year-old pregnant female client at 38 weeks gestation who arrived to the OB triage unit with complaints of decreased fetal movement. The nurse assesses the NonStress Test (NST) and documents the results as ___. The nurse contacts the provider and reports the NST results. The nurse anticipates an order for a ___.
Correct Answer: A
Rationale: A non-reactive NST (no accelerations) prompts a biophysical profile to further assess fetal well-being.
Extract:
Client in labor at 39 weeks, maternal BP 128/88, FHR baseline 115 bpm, maternal heart rate 128 bpm, maternal respiratory rate 18/min.
Question 2 of 5
A nurse is caring for a client in labor at 39 weeks of gestation. Which of the following assessment findings requires follow-up?
Correct Answer: C
Rationale: A maternal heart rate of 128 bpm indicates tachycardia, which may suggest distress, infection, or dehydration, requiring follow-up.
Extract:
Client who experienced a cesarean birth due to dysfunctional labor, expresses disappointment about not having natural childbirth.
Question 3 of 5
A nurse is caring for a client who experienced a cesarean birth due to dysfunctional labor. The client states that she is disappointed that she did not have natural childbirth. Which of the following responses should the nurse make?
Correct Answer: A
Rationale: Acknowledging the client's feelings validates her emotional experience and supports further discussion, addressing her disappointment empathetically.
Extract:
Client in labor, HIV positive.
Question 4 of 5
A nurse is admitting a client in labor who is HIV positive. Which intervention is contraindicated for this client?
Correct Answer: D
Rationale: Internal fetal scalp electrodes are contraindicated due to the risk of HIV transmission through fetal scalp abrasions.
Extract:
28-year-old, 38 weeks gestation, decreased fetal movement, FHR 140 bpm, moderate variability, no accelerations or decelerations.
Question 5 of 5
A nurse is caring for a 28-year-old pregnant female client at 38 weeks gestation who arrived to the OB triage unit with complaints of decreased fetal movement. The nurse assesses the NonStress Test (NST) and documents the results as ___. The nurse contacts the provider and reports the NST results. The nurse anticipates an order for a ___.
Correct Answer: A
Rationale: A non-reactive NST (no accelerations) prompts a biophysical profile to further assess fetal well-being.