ATI RN
ATI OB Maternal Newborn Nurs 4650 Questions
Extract:
Client in active labor with 7 cm cervical dilation, 100% effacement, fetus at +1 station, intact membranes
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: C
Rationale: Panting prevents pushing before full dilation (10 cm), avoiding cervical edema and labor complications.
Extract:
Client who is postpartum with a new prescription for Rh(D) immunoglobulin
Question 2 of 5
A nurse is teaching a client who is postpartum and has a new prescription for an injection of Rh(D) immunoglobulin. Which one of the following should be included in the teaching?
Correct Answer: D
Rationale: Rh(
D) immunoglobulin prevents Rh-negative mothers from forming antibodies against Rh-positive fetal blood, protecting future pregnancies.
Extract:
Client at 40 weeks of gestation in labor with fetus small for gestational age (SGA)
Question 3 of 5
A nurse is caring for a client who is at 40 weeks of gestation and is in labor. The client's ultrasound examination indicates that the fetus is small for gestational age (SGA). Which of the following interventions should be included in the newborn's plan of care?
Correct Answer: C
Rationale: SGA newborns are at risk for meconium aspiration syndrome due to intrauterine stress, requiring monitoring of respiratory secretions.
Extract:
New mother with 2-day-old newborn
Question 4 of 5
A nurse is completing discharge instructions for a new mother and her 2-day-old newborn. The mother asks 'How will I know if my baby gets enough breast milk?' Which of the following responses should the nurse make?
Correct Answer: A
Rationale: Six to eight wet diapers daily indicate adequate breast milk intake, reflecting proper hydration and nutrition.
Extract:
Antepartum client with negative rubella titer
Question 5 of 5
A nurse is caring for an antepartum client whose laboratory findings indicate a negative rubella titer. Which of the following indicates the correct interpretation of this data?
Correct Answer: B
Rationale: A negative rubella titer indicates no immunity, requiring post-delivery immunization to protect future pregnancies.