ATI RN
ATI RN Maternal Newborn Online Practice 2019 B with NGN Questions
Extract:
Client becomes unresponsive upon delivery of the placenta
Question 1 of 5
A nurse is caring for a client who becomes unresponsive upon delivery of the placenta. Which of the following actions should the nurse take first?
Correct Answer: Determining respiratory function is the first step in the ABC (airway, breathing, circulation) assessment, critical for an unresponsive client to address life-threatening issues.
Rationale:
Extract:
Client at 42 weeks of gestation, 29-year-old, Gravida 2 Para 1, admitted for oxytocin induction
Question 2 of 5
Based on the assessment findings, which of the following actions should the nurse plan to take? Click to specify whether the nurse's planned actions are anticipated, nonessential, or contraindicated.
| Action | Anticipated | Nonessemtial | Contraindicated |
|---|---|---|---|
| Increase the oxytocin infusion to 13 mu/min | |||
| Place client in a side-lying position | |||
| Initiate bolus of primary IV fluids | |||
| Apply oxygen at 10 L/min via venturi mask | |||
| Perform sterile vaginal examination (SVE) | |||
| Assign a Bishop score | |||
| A,B,C,D,G |
Correct Answer: Increasing oxytocin, side-lying position, IV fluid bolus, oxygen, and amniotomy are anticipated for labor induction. SVE and Bishop score are contraindicated or nonessential due to recent cervical assessment.
Rationale:
Extract:
Client in prenatal clinic, Leopold maneuvers show round, firm, moveable part in fundus, long smooth surface on right side
Question 3 of 5
A nurse in a prenatal clinic is caring for a client. Using Leopold maneuvers, the nurse palpates a round, firm, moveable part in the fundus of the uterus and a long, smooth surface on the client's right side. In which abdominal quadrant should the nurse expect to auscultate fetal heart tones?
Correct Answer: With the fetal back on the right side, fetal heart tones are best heard in the right upper quadrant, where the fetal chest is closest to the maternal abdomen.
Rationale:
Extract:
Client who is 2 hr postpartum
Question 4 of 5
A nurse is planning care for a client who is 2 hr postpartum. Which of the following interventions should the nurse plan to implement during the taking-hold phase of postpartum behavioral adjustment?
Correct Answer: During the taking-hold phase, the mother is alert and ready to learn newborn care. Demonstrating a newborn bath supports her active engagement and confidence in caregiving, aligning with this phase's focus.
Rationale:
Extract:
Client in labor, undergoing amniotomy
Question 5 of 5
A DDA nurse is planning care for a client who is in labor and is to have an amniotomy. Which of the following assessments should the nurse identify as the priority?
Correct Answer: Monitoring temperature is the priority post-amniotomy to detect infection, indicated by a temperature of 38°C or higher, which requires immediate reporting
Rationale: