ATI RN
RN Maternal Nursing OB Newborn 2023 2024 Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is in labor and reports increasing rectal pressure. They are experiencing contractions 2 to 3 min apart, each lasting 80 to 90 seconds, and a vaginal examination reveals that their cervix is dilated to 9 cm. The nurse should identify that the client is in which of the following phases of labor?
Correct Answer: B
Rationale: The correct answer is B: Active phase. At 9 cm dilation, the client is in the active phase of the first stage of labor. During this phase, contractions are strong and frequent, leading to rapid cervical dilation. The increasing rectal pressure and close contractions indicate active labor.
Choice A: Passive descent - Incorrect. This phase occurs after full dilation and is characterized by fetal descent.
Choice C: Early phase - Incorrect. This phase occurs at the beginning of labor when the cervix is dilating from 0 to 3 cm.
Choice D: Descent - Incorrect. Descent refers to the movement of the fetus through the birth canal, not a specific phase of labor.
Question 2 of 5
A nurse is providing teaching to a client who is at 14 weeks of gestation about findings to report to the provider. Which of the following findings should the nurse include in the teaching?
Correct Answer: D
Rationale: Swelling of the face can be a sign of preeclampsia, a serious condition that requires immediate medical attention.
Question 3 of 5
A nurse is caring for a 1-month-old infant who has manifestations of severe dehydration and a prescription for parenteral fluid therapy. The guardian asks, 'What are the indications that my baby needs an IV?' Which of the following responses should the nurse make?
Correct Answer: A
Rationale: The absence of tears is a sign of severe dehydration, indicating the need for IV fluid therapy to restore hydration.
Question 4 of 5
A nurse is caring for a client who is in labor and receiving oxytocin. Which of the following findings indicates that the nurse should increase the rate of infusion?
Correct Answer: A
Rationale: Contractions every 5 minutes lasting 30 seconds are inadequate for labor progression, indicating the need to increase oxytocin infusion to strengthen contractions.
Question 5 of 5
A nurse is caring for a client who is 12 hr postpartum and has a third-degree perineal laceration. The client reports not having a bowel movement for 4 days. Which of the following medications should the nurse administer?
Correct Answer: A
Rationale: A rectal suppository like bisacodyl is effective for relieving constipation and is safe for postpartum clients with perineal lacerations.