Questions 48

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ATI OB Maternal Newborn Nurs 4650 Questions

Extract:

Client following an amniotomy in the active phase of the first stage of labor


Question 1 of 5

A nurse is caring for a client following an amniotomy, who is now in the active phase of the first stage of labor. Which of the following actions should the nurse implement with this client?

Correct Answer: A

Rationale: A full bladder can impede fetal descent and increase discomfort, so encouraging urination every 2 hours supports labor progress.

Extract:

Client who is primigravida, at term, having contractions


Question 2 of 5

A nurse is caring for a client who is a primigravida, at term, and having contractions but is stating that she is 'not really sure if she is in labor or not.' Which of the following should the nurse recognize as a sign of true labor?

Correct Answer: C

Rationale: Progressive cervical effacement and dilation confirm true labor, distinguishing it from false labor.

Extract:

Client undergoing a biophysical profile


Question 3 of 5

A nurse is caring for a client who is to undergo a biophysical profile. The client asks the nurse what is being evaluated during this test. Which of the following should the nurse include? (Select all that apply.)

Correct Answer: A,B,C

Rationale: The biophysical profile assesses amniotic fluid volume, fetal motion, and fetal breathing to evaluate fetal well-being, but not gender or neck translucency.

Extract:

Postmature newborn


Question 4 of 5

A nurse is preparing to assess a newborn who is postmature. Which of the following findings should the nurse expect? (Select all that apply)

Correct Answer: A

Rationale: Postmature newborns often have cracked, peeling skin due to reduced vernix and prolonged gestation.

Extract:

Client at 40 weeks of gestation in labor


Question 5 of 5

A nurse is observing the electronic fetal heart rate monitor tracing for a client who is at 40 weeks of gestation and is in labor. The nurse should suspect a problem with the umbilical cord when she observes which of the following patterns?

Correct Answer: C

Rationale: Variable decelerations indicate potential umbilical cord compression, requiring immediate intervention to prevent fetal hypoxia.

Similar Questions

A nurse is caring for a newborn and calculating the Apgar score at 1 minute after delivery, the following findings are noted: Slow, weak cry, Some flexion of extremities, Grimace in response to suctioning at the nares, Body pink in color, Blue extremities. Calculate the newborn's Apgar score.
A nurse is planning care for a client who is at 10 weeks of gestation and reports abdominal pain and moderate vaginal discharge. The tentative diagnosis is inevitable abortion. Which of the following nursing interventions should be included in the plan of care?
A nurse is assessing a client in labor who has had epidural anesthesia for pain relief. Which of the following findings should the nurse identify as a complication from the epidural block?
A nurse is caring for a client who is at 40 weeks of gestation and is in labor. The client's ultrasound examination indicates that the fetus is small for gestational age (SGA). Which of the following interventions should be included in the newborn's plan of care?
A nurse is preparing to administer magnesium sulfate IV to a client who is experiencing preterm labor. Which of the following is the priority nursing assessment for this client?

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