ATI RN
ATI RN Maternal Newborn Online Practice 2019 B with NGN Questions
Extract:
Client who is a primigravida, at term, unsure if in labor
Question 1 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: Cervical changes, such as dilation and effacement, are the definitive signs of true labor, distinguishing it from false labor.
Rationale:
Extract:
Client with new prescription for combined oral contraceptives
Question 2 of 5
A nurse is teaching a client who has a new prescription for combined oral contraceptives about potential adverse effects. Which of the following findings should the nurse instruct the client to notify the provider?
Correct Answer: Shortness of breath may indicate a serious complication like a blood clot, requiring immediate provider notification, unlike common side effects like breakthrough bleeding.
Rationale:
Extract:
Client who is 2 hr postpartum
Question 3 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:
Newborn assessed for hypoglycemia
Question 4 of 5
A nurse is assessing a newborn for manifestations of hypoglycemia. Which of the following findings should the nurse expect?
Correct Answer: Jitteriness is a common sign of hypoglycemia in newborns, reflecting neurological response to low blood glucose levels.
Rationale:
Extract:
Client at 42 weeks of gestation, induction of labor, fetal heart rate 140 to 145/min, moderate variability, rare contractions, oxytocin at 11 mu/min
Question 5 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 |
Correct Answer: Increasing oxytocin, side-lying position, IV fluid bolus, and oxygen are anticipated to support labor progress and fetal oxygenation. SVE and Bishop score are nonessential as recent cervical assessment was done.
Rationale: