ATI RN
ATI RN Maternal Newborn Online Practice 2019 B with NGN Questions
Extract:
Client at 29 weeks of gestation, receiving betamethasone
Question 1 of 5
A nurse is caring for a client who is experiencing preterm labor at 29 weeks of gestation and has a prescription for betamethasone. Which of the following statements should the nurse make about the indication for medication administration?
Correct Answer: Betamethasone enhances fetal lung surfactant production, improving respiratory outcomes in preterm infants, which is the primary indication.
Rationale:
Extract:
Client with a new prescription for dinoprostone gel
Question 2 of 5
A nurse in a prenatal clinic is teaching a client who has a new prescription for dinoprostone gel. Which of the following statements should the nurse include in the teaching?
Correct Answer: Dinoprostone promotes cervical ripening by softening the cervix, preparing it for labor induction, which is the key teaching point.
Rationale:
Extract:
Client in labor, receiving oxytocin for induction, contractions every 2 min, lasting 90 sec, strong, fetal heart rate 150/min with uniform decelerations
Question 3 of 5
A nurse on the labor and delivery unit is caring for a patient who is having induction of labor with oxytocin administered through a secondary IV line. Uterine contractions occur every 2 min, last 90 sec, and are strong to palpation. The baseline fetal heart rate is 150/min, with uniform decelerations beginning at the peak of the contraction and a return to baseline after the contraction is over. Which of the following actions should the nurse take?
Correct Answer: Uniform decelerations (late decelerations) with frequent, strong, prolonged contractions suggest uterine hyperstimulation from oxytocin, requiring discontinuation to prevent fetal distress.
Rationale:
Extract:
Client at 8 weeks of gestation
Question 4 of 5
A nurse in a women's health clinic is providing teaching about nutritional intake to a client who is at 8 weeks of gestation. The nurse should instruct the client to increase her daily intake of which of the following nutrients?
Correct Answer: Increased iron intake is essential in early pregnancy to support expanded blood volume and prevent anemia, critical for maternal and fetal health.
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: