ATI RN
ATI Maternal Newborn 2019 with NGN Questions
Extract:
Client in active labor with sudden severe lower abdominal pain, drop in blood pressure, cool skin, pallor, and fetal heart rate showing prolonged bradycardia
Question 1 of 5
A nurse is caring for a client who is in active labor and reports sudden, severe lower abdominal pain. The nurse observes a drop in the client's blood pressure and notes cool skin and pallor. The fetal heart rate tracing shows prolonged bradycardia. Which of the following complications should the nurse suspect?
Correct Answer: C
Rationale: Sudden, severe lower abdominal pain, signs of shock (drop in blood pressure, cool skin, pallor), and prolonged fetal bradycardia suggest uterine rupture, which can cause intra-abdominal hemorrhage and fetal distress.
Extract:
Client at 35 weeks of gestation with diabetes mellitus undergoing nonstress test
Question 2 of 5
A nurse is performing a nonstress test on a client who is at 35 weeks of gestation and has diabetes mellitus. The test reveals no accelerations of fetal heart rate for 20 min. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Vibroacoustic stimulation is used to elicit fetal movement and heart rate accelerations, helping assess fetal well-being when a nonstress test is non-reactive.
Extract:
Client receiving oxytocin for labor induction with late decelerations on fetal heart rate tracing
Question 3 of 5
A nurse is caring for a client who is receiving oxytocin for induction of labor and notes late decelerations of the fetal heart rate on the monitor tracing. which of the following actions should the nurse take?
Correct Answer: D
Rationale: Placing the client in a lateral position improves uteroplacental blood flow, addressing late decelerations, which indicate potential fetal distress due to reduced oxygenation.
Extract:
Four clients on antepartum unit
Question 4 of 5
A nurse on an antepartum unit is receiving change-of-shift report for four clients. Which of the following clients should the nurse assess first?
Correct Answer: B
Rationale: Epigastric pain and headache at 34 weeks may indicate preeclampsia, a serious condition requiring immediate assessment to prevent complications like seizures.
Extract:
Client breastfeeding her newborn
Question 5 of 5
A nurse is providing discharge instructions to a client who is breastfeeding her newborn. Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: Allowing the baby to feed at least every 3 hours helps establish an adequate milk supply and ensures proper nutrition, supporting newborn health.