ATI RN
ATI RN Maternal Newborn Online Practice 2019 B with NGN Questions
Extract:
Client at 41 weeks of gestation with a positive contraction stress test
Question 1 of 5
A nurse is caring for a client who is at 41 weeks of gestation and has a positive contraction stress test. For which of the following diagnostic tests should the nurse prepare the client?
Correct Answer: A biophysical profile assesses fetal well-being after a positive contraction stress test, evaluating parameters like heart rate and amniotic fluid volume to guide delivery decisions.
Rationale:
Extract:
Client in active labor, late decelerations in FHR
Question 2 of 5
A nurse is caring for a client who is in active labor and notes late decelerations in the FHR. Which of the following actions should the nurse take first?
Correct Answer: Changing the client's position, typically to a side-lying position, is the first action to relieve vena cava compression, improving uteroplacental perfusion and addressing late decelerations.
Rationale:
Extract:
Client at 18 weeks of gestation, post-amniocentesis
Question 3 of 5
A nurse is caring for a client following an amniocentesis at 18 weeks of gestation. Which of the following findings should the nurse report to the provider as a potential complication?
Correct Answer: Leakage of fluid from the vagina post-amniocentesis suggests amniotic sac rupture, a serious complication risking preterm labor, requiring immediate reporting.
Rationale:
Extract:
Client in labor, provider performs amniotomy
Question 4 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, membranes rupture, late decelerations on fetal monitor
Question 5 of 5
A nurse is caring for a client who is in active labor when the client's membranes rupture. The fetal monitor tracing shows late decelerations. Which of the following actions should the nurse take first?
Correct Answer: Turning the client to her side is the first action to relieve vena cava compression, improving uteroplacental perfusion and addressing late decelerations.
Rationale: