ATI RN
ATI RN Maternal Newborn Online Practice 2019 B with NGN Questions
Extract:
Client in active labor, membranes rupture, late decelerations on fetal monitor
Question 1 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:
Extract:
Client who is 2 hr postpartum
Question 2 of 5
A nurse is planning care for a client who is 2 hr postpartum. Which of the following interventions should the nurse plan to implement during the taking-hold phase of postpartum behavioral adjustment?
Correct Answer: During the taking-hold phase, the mother is alert and ready to learn newborn care. Demonstrating a newborn bath supports her active engagement and confidence in caregiving, aligning with this phase's focus.
Rationale:
Extract:
Client in active labor, late decelerations in FHR
Question 3 of 5
A nurse is caring for a client who is in active labor and notes late decelerations in the FHR. Which of the following actions should the nurse take first?
Correct Answer: Changing the client's position, typically to a side-lying position, is the first action to relieve vena cava compression, improving uteroplacental perfusion and addressing late decelerations.
Rationale:
Extract:
Newborn who is 12 hr old
Question 4 of 5
A nurse is assessing a newborn who is 12 hr old. Which of the following manifestations requires intervention by the nurse?
Correct Answer: Substernal chest retractions while sleeping indicate respiratory distress, requiring intervention to assess and address potential respiratory issues.
Rationale:
Extract:
Client in preterm labor, receiving terbutaline
Question 5 of 5
A nurse is teaching a client who is in preterm labor about terbutaline. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: Terbutaline can cause hypokalemia, and monitoring potassium levels via blood tests is necessary, indicating the client's understanding of the medication's side effects.
Rationale: