ATI Capstone Week 11 Exam | Nurselytic

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ATI Capstone Week 11 Exam Questions

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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: B

Rationale: The correct answer is B: Ask the client to turn onto her side. This is the correct intervention because the client's low blood pressure reading of 82/52 mm Hg indicates hypotension, which can be caused by aortocaval compression in the supine position. Turning the client onto her side will help alleviate this compression, improve blood flow, and prevent further complications.


Choice A (Prepare for a cesarean birth) is incorrect because there is no indication for a cesarean birth solely based on the blood pressure reading.
Choice C (Assist the client to an upright position) is incorrect as it may worsen hypotension due to gravitational pooling of blood.
Choice D (Prepare for an immediate vaginal delivery) is incorrect as the client is at 6 cm dilation, not fully dilated, and immediate delivery is not warranted based on the blood pressure reading.

Question 2 of 5

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Question 3 of 5

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Question 4 of 5

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Question 5 of 5

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