ATI RN
ATI Maternity Nur230 Questions
Extract:
Client in labor experiencing incomplete uterine relaxation between hypertonic contractions
Question 1 of 5
A nurse is caring for a client in labor who is experiencing incomplete uterine relaxation between hypertonic contractions. What adverse effect does the nurse recognize as a result of this contraction pattern?
Correct Answer: B
Rationale: Incomplete uterine relaxation with hypertonic contractions can impede cervical dilation, slowing labor progression.
Extract:
Postpartum client with fundus displaced laterally to the right and uterine atony
Question 2 of 5
A nurse is assessing a postpartum client for fundal height, location, and consistency. The fundus is found to be displaced laterally to the right, and there is uterine atony. Which of the following is the cause of the uterine atony?
Correct Answer: A
Rationale: Urinary retention can displace the uterus, preventing proper contraction and leading to uterine atony.
Extract:
Infant with Tetralogy of Fallot
Question 3 of 5
Given the medical history and nurses' notes of an infant diagnosed with Tetralogy of Fallot, which of the following actions should the nurse take?
Correct Answer: B
Rationale: The knee-chest position increases pulmonary blood flow, alleviating symptoms in Tetralogy of Fallot.
Extract:
Client in labor at 2 cm dilation, 50% effaced, fetus at -2 station
Question 4 of 5
A nurse in the labor and delivery unit is attending to a client in labor. The nurse applies an external fetal monitor and toco transducer. The FHR is around 140/min. Contractions are every 8 min and 30 to 40 seconds in duration. The nurse performs a vaginal exam and finds the cervix is 2 cm dilated, 50% effaced, and the fetus is at a -2 station. Which stage and phase of labor is this client experiencing?
Correct Answer: D
Rationale: The latent phase of the first stage involves mild, irregular contractions, 0-3 cm dilation, and 0-40% effacement, matching these findings.
Extract:
Child who has recovered from an acute crisis episode of sickle cell anemia
Question 5 of 5
A nurse is discharging a child who has recovered from an acute crisis episode of sickle cell anemia. What instructions should the nurse include in the teaching?
Correct Answer: A
Rationale: Frequent fluid intake prevents dehydration, which can trigger sickle cell crises by increasing blood viscosity.