ATI RN
ATI RN Maternal Newborn Online Practice 2019 B with NGN Questions
Extract:
Client in active labor with meconium staining of amniotic fluid, reassuring fetal heart rate
Question 1 of 5
A nurse is caring for a client in active labor who has meconium staining of the amniotic fluid. The nurse notes a reassuring fetal heart rate (FHR) tracing from the external fetal monitor. Which of the following actions should the nurse perform?
Correct Answer: Preparing resuscitation equipment is prudent due to the risk of meconium aspiration syndrome, even with a reassuring FHR, ensuring readiness for potential newborn distress.
Rationale:
Extract:
Client in labor, receiving oxytocin for induction, contractions every 2 min, lasting 90 sec, strong, fetal heart rate 150/min with uniform decelerations
Question 2 of 5
A nurse on the labor and delivery unit is caring for a patient who is having induction of labor with oxytocin administered through a secondary IV line. Uterine contractions occur every 2 min, last 90 sec, and are strong to palpation. The baseline fetal heart rate is 150/min, with uniform decelerations beginning at the peak of the contraction and a return to baseline after the contraction is over. Which of the following actions should the nurse take?
Correct Answer: Uniform decelerations (late decelerations) with frequent, strong, prolonged contractions suggest uterine hyperstimulation from oxytocin, requiring discontinuation to prevent fetal distress.
Rationale:
Extract:
Client in preterm labor, receiving terbutaline
Question 3 of 5
A nurse is teaching a client who is in preterm labor about terbutaline. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: Terbutaline can cause hypokalemia, and monitoring potassium levels via blood tests is necessary, indicating the client's understanding of the medication's side effects.
Rationale:
Extract:
Client who is pregnant, fetal position as left occipital anterior
Question 4 of 5
A nurse is assessing fetal heart tones for a client who is pregnant. The nurse has determined the fetal position as left occipital anterior. To which of the following areas of the client's abdomen should the nurse apply the ultrasound transducer to assess the point of maximum intensity of the fetal heart?
Correct Answer: In left occipital anterior position, the fetal heart is best heard in the left lower quadrant, where the fetal back is closest to the maternal abdomen.
Rationale:
Extract:
Client undergoing nonstress test
Question 5 of 5
A nurse is planning care for a client who is to undergo a nonstress test. Which of the following actions should the nurse include in the plan of care?
Correct Answer: Instructing the client to press a button for each fetal movement correlates movements with fetal heart rate changes, essential for assessing fetal well-being during a nonstress test.
Rationale: