ATI RN
ATI Maternal Newborn 2019 with NGN Questions
Extract:
Client in active labor receiving oxytocin with internal fetal heart monitor showing early deceleration
Question 1 of 5
A nurse is caring for a client who is in active labor and is receiving oxytocin via IV infusion. The nurse has applied an internal fetal heart monitor and recognizes an early deceleration of the fetal heart rate tracing. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Early decelerations are benign, caused by fetal head compression during contractions, and do not indicate distress, so continuing to monitor the client is appropriate.
Extract:
Client in active labor with two prior cesarean births
Question 2 of 5
A nurse is admitting a client who is in active labor and has had two prior cesarean births. The nurse should identify that the client is at increased risk for which of the following complications?
Correct Answer: D
Rationale: Two prior cesarean births increase the risk of uterine rupture during labor, a serious complication that can lead to maternal hemorrhage and fetal distress.
Extract:
Antepartum client reporting constipation
Question 3 of 5
A nurse is providing teaching about increasing dietary fiber to an antepartum client who reports constipation. Which of the following food selections has the highest fiber content per cup?
Correct Answer: A
Rationale: Lentils have the highest fiber content, providing approximately 15.6 grams per cup, compared to oatmeal (4 grams), cabbage (2.6 grams), and asparagus (3.6 grams), making them the best choice for managing constipation.
Extract:
Client with eclampsia post-convulsion
Question 4 of 5
A nurse is caring for a client who has developed eclampsia. Which of the following actions should the nurse implement after the client experiences a convulsion?
Correct Answer: C
Rationale: Administering oxygen at 10 L/min post-convulsion prevents hypoxia, a critical step to protect maternal and fetal health in eclampsia.
Extract:
Newborn delivered with nuchal cord
Question 5 of 5
A nurse is performing an initial assessment of a newborn who was delivered with a nuchal cord. Which of the following clinical findings should the nurse expect?
Correct Answer: B
Rationale: Facial petechiae are expected in newborns with a nuchal cord due to pressure on the neck during delivery, causing small blood vessel ruptures on the face.