ATI RN
ATI RN Maternal Newborn Online Practice 2019 B with NGN Questions
Extract:
Client in active labor, 7 cm cervical dilation, 100% effacement, fetus at 1+ station, amniotic membranes intact, sudden urge to push
Question 1 of 5
A nurse is caring for a client who is in active labor with 7 cm of cervical dilation and 100% effacement. The fetus is at 1+ station, and the client's amniotic membranes are intact. The client suddenly states that she needs to push. Which of the following actions should the nurse take?
Correct Answer: Having the client pant during contractions prevents premature pushing at 7 cm dilation, reducing the risk of cervical trauma or rapid fetal descent.
Rationale:
Extract:
Newborn undergoing phototherapy for hyperbilirubinemia
Question 2 of 5
A nurse is caring for a newborn who is undergoing phototherapy to treat hyperbilirubinemia. Which of the following actions should the nurse take?
Correct Answer: Covering the newborn's eyes protects them from phototherapy light, preventing potential retinal damage, a critical action during treatment.
Rationale:
Extract:
Client at 42 weeks of gestation, 29-year-old, Gravida 2 Para 1, admitted for oxytocin induction
Question 3 of 5
Based on the assessment findings, which of the following actions should the nurse plan to take? (Select All that Apply)
Correct Answer: All actions -oxygen, increasing oxytocin, IV fluid bolus, SVE, and side-lying position- are anticipated to support labor induction and monitor progress.
Rationale:
Extract:
Client in active labor, presenting part at 0 station
Question 4 of 5
A nurse is assessing a client who is in active labor and notes that the presenting part is at 0 station. Which of the following is the correct interpretation of this clinical finding?
Correct Answer: A 0 station means the lowermost fetal part is at the level of the ischial spines, indicating engagement in the pelvis during labor.
Rationale:
Extract:
Client at 38 weeks of gestation, experiencing polyhydramnios
Question 5 of 5
A nurse is caring for a client who is admitted to the maternity unit at 38 weeks of gestation and who is experiencing polyhydramnios. The nurse should understand that this diagnosis means which of the following?
Correct Answer: Polyhydramnios is defined as an excessive amount of amniotic fluid, often linked to conditions like fetal anomalies or maternal diabetes, but primarily characterized by fluid volume.
Rationale: