ATI RN
ATI RN Maternal Newborn Online Practice 2019 B with NGN Questions
Extract:
Client at 22 weeks of gestation, reports blotchy hyperpigmentation on forehead
Question 1 of 5
A nurse is caring for a client who is at 22 weeks of gestation and reports concern about the blotchy hyperpigmentation on her forehead. Which of the following actions should the nurse take?
Correct Answer: Explaining that hyperpigmentation (melasma) is a normal pregnancy change due to hormonal shifts reassures the client and addresses her concern.
Rationale:
Extract:
Client in prolonged labor with severe backache
Question 2 of 5
A nurse on the labor and delivery unit is caring for a client who is having a difficult, prolonged labor with severe backache. Which of the following contributing causes should the nurse identify?
Correct Answer: Persistent occiput posterior position causes prolonged labor and severe backache due to the fetal head pressing against the maternal sacrum.
Rationale:
Extract:
Client with a new prescription for a diaphragm
Question 3 of 5
A nurse is providing teaching about family planning to a client who has a new prescription for a diaphragm. Which of the following statements should the nurse include in the teaching?
Correct Answer: Leaving the diaphragm in place for at least 6 hours after intercourse ensures its effectiveness in preventing pregnancy by blocking sperm from reaching the cervix.
Rationale:
Extract:
Client gave birth vaginally 12 hr ago, uterus palpated to the right above the umbilicus
Question 4 of 5
A nurse is assessing a client who gave birth vaginally 12 hr ago and palpates her uterus to the right above the umbilicus. Which of the following interventions should the nurse perform?
Correct Answer: A uterus displaced to the right above the umbilicus suggests a full bladder, which can impede uterine contraction. Assisting the client to empty her bladder corrects the displacement and supports uterine involution.
Rationale:
Extract:
Client in labor with external fetal monitor, late decelerations observed
Question 5 of 5
A nurse is caring for a client who is in labor and has an external fetal monitor. The nurse observes late decelerations on the monitor strip and interprets them as indicating which of the following?
Correct Answer: Late decelerations indicate uteroplacental insufficiency, where reduced blood flow to the fetus during contractions causes a drop in fetal heart rate, requiring intervention.
Rationale: