ATI RN
ATI RN Maternal Newborn Online Practice 2019 B with NGN Questions
Extract:
Client at 38 weeks of gestation, experiencing polyhydramnios
Question 1 of 5
A nurse is caring for a client who is admitted to the maternity unit at 38 weeks of gestation and who is experiencing polyhydramnios. The nurse should understand that this diagnosis means which of the following?
Correct Answer: Polyhydramnios is defined as an excessive amount of amniotic fluid, often linked to conditions like fetal anomalies or maternal diabetes, but primarily characterized by fluid volume.
Rationale:
Extract:
Client in labor, provider performs amniotomy
Question 2 of 5
A nurse is caring for a client who is in labor and assists the provider who performs an amniotomy. Which of the following is the priority action by the nurse following the procedure?
Correct Answer: Assessing the fetal heart rate is the priority post-amniotomy to detect cord prolapse or compression, ensuring fetal well-being.
Rationale:
Extract:
Client in active labor, 7 cm cervical dilation, 100% effacement, fetus at 1+ station, amniotic membranes intact, sudden urge to push
Question 3 of 5
A nurse is caring for a client who is in active labor with 7 cm of cervical dilation and 100% effacement. The fetus is at 1+ station, and the client's amniotic membranes are intact. The client suddenly states that she needs to push. Which of the following actions should the nurse take?
Correct Answer: Having the client pant during contractions prevents premature pushing at 7 cm dilation, reducing the risk of cervical trauma or rapid fetal descent.
Rationale:
Extract:
Client who is Rh negative
Question 4 of 5
A nurse is teaching a client who is Rh negative about Rho(D) immune globulin. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: Rho(D) immune globulin is administered after procedures like amniocentesis to prevent Rh sensitization in Rh-negative mothers, indicating the client's understanding.
Rationale:
Extract:
Client at 39 weeks of gestation in active labor
Question 5 of 5
A nurse is caring for a client who is at 39 weeks of gestation and is in active labor. The nurse locates the fetal heart tones above the client's umbilicus at midline. The nurse should suspect that the fetus is in which of the following positions?
Correct Answer: Fetal heart tones above the umbilicus at midline suggest a frank breech position, where the buttocks are the presenting part.
Rationale: