ATI RN
ATI OB Maternal Newborn Nurs 4650 Questions
Extract:
Client at 40 weeks gestation in active labor with 6 cm cervical dilation, 100% effacement, BP 82/52 mm Hg
Question 1 of 5
A nurse is caring for a client who is at 40 weeks gestation and is in active labor. The client has 6 cm of cervical dilation and 100% cervical effacement. The nurse obtains the client's blood pressure reading as 82/52 mm Hg. Which of the following nursing interventions should the nurse perform?
Correct Answer: A
Rationale: Low blood pressure suggests supine hypotensive syndrome; turning the client to her side relieves uterine pressure on the vena cava, improving blood flow.
Extract:
Client who is postpartum
Question 2 of 5
A nurse is caring for a client who is postpartum who asks the nurse when her breast milk will 'come in.' Which of the following responses should the nurse make?
Correct Answer: D
Rationale: Mature breast milk typically transitions from colostrum around 3 to 5 days postpartum, supporting newborn nutrition.
Extract:
Client reporting severe abdominal pain in the left lower quadrant with suspected ruptured ectopic pregnancy
Question 3 of 5
A nurse in the emergency department is caring for a client who comes to the emergency department reporting severe abdominal pain in the left lower quadrant. The provider suspects a ruptured ectopic pregnancy. Which of the following signs indicates to the nurse that the client has blood in the peritoneum?
Correct Answer: A
Rationale: Cullen's sign (periumbilical bruising) indicates peritoneal bleeding, consistent with a ruptured ectopic pregnancy.
Extract:
Client experiencing rapidly progressing labor
Question 4 of 5
A nurse is caring for a client who presents to a labor and delivery unit experiencing rapidly progressing labor. Which of the following is the priority action for the nurse to take?
Correct Answer: C
Rationale: Applying perineal pressure controls delivery speed, preventing uncontrolled delivery and fetal injury in rapid labor.
Extract:
Client undergoing an amniotomy
Question 5 of 5
A nurse is caring for a client who is to undergo an amniotomy. Which of the following is the priority nursing action following this procedure?
Correct Answer: D
Rationale: Assessing fetal heart rate post-amniotomy detects complications like cord prolapse, ensuring fetal well-being.