ATI RN
ATI RN Maternal Newborn Online Practice 2019 B with NGN Questions
Extract:
Client at 18 weeks of gestation, post-amniocentesis
Question 1 of 5
A nurse is caring for a client following an amniocentesis at 18 weeks of gestation. Which of the following findings should the nurse report to the provider as a potential complication?
Correct Answer: Leakage of fluid from the vagina post-amniocentesis suggests amniotic sac rupture, a serious complication risking preterm labor, requiring immediate reporting.
Rationale:
Extract:
Client at 38 weeks of gestation, in first stage of labor
Question 2 of 5
A nurse is admitting a client who is at 38 weeks of gestation and is in the first stage of labor. Which of the following assessment findings should the nurse report to the provider first?
Correct Answer: A contraction lasting 2 minutes is excessively long, risking fetal hypoxia due to reduced uterine blood flow, requiring immediate reporting.
Rationale:
Extract:
Client with a new prescription for a diaphragm
Question 3 of 5
A nurse is providing teaching about family planning to a client who has a new prescription for a diaphragm. Which of the following statements should the nurse include in the teaching?
Correct Answer: Leaving the diaphragm in place for at least 6 hours after intercourse ensures its effectiveness in preventing pregnancy by blocking sperm from reaching the cervix.
Rationale:
Extract:
Client in active labor, late decelerations in FHR
Question 4 of 5
A nurse is caring for a client who is in active labor and notes late decelerations in the FHR. Which of the following actions should the nurse take first?
Correct Answer: Changing the client's position, typically to a side-lying position, is the first action to relieve vena cava compression, improving uteroplacental perfusion and addressing late decelerations.
Rationale:
Extract:
Client in labor with external fetal monitor, late decelerations observed
Question 5 of 5
A nurse is caring for a client who is in labor and has an external fetal monitor. The nurse observes late decelerations on the monitor strip and interprets them as indicating which of the following?
Correct Answer: Late decelerations indicate uteroplacental insufficiency, where reduced blood flow to the fetus during contractions causes a drop in fetal heart rate, requiring intervention.
Rationale: