ATI RN
ATI RN Maternal Newborn Online Practice 2019 B with NGN Questions
Extract:
Client in labor with epidural anesthesia, blood pressure 80/40 mm Hg, fetal heart rate 140/min
Question 1 of 5
A nurse is caring for a client who is in labor and has an epidural anesthesia block. The client's blood pressure is 80/40 mm Hg and the fetal heart rate is 140/min. Which of the following is the priority nursing action?
Correct Answer: Placing the client in a lateral position is the priority to relieve aortocaval compression, improving blood flow and correcting hypotension caused by the epidural.
Rationale:
Extract:
Newborn who is 12 hr old
Question 2 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 at 42 weeks of gestation, induction of labor, fetal heart rate 140 to 145/min, moderate variability, rare contractions, oxytocin at 11 mu/min
Question 3 of 5
Based on the assessment findings, which of the following actions should the nurse plan to take? Click to specify whether the nurse's planned actions are anticipated, nonessential, or contraindicated.
| Action | Anticipated | Nonessemtial | Contraindicated |
|---|---|---|---|
| Increase the oxytocin infusion to 13 mu/min | |||
| Place client in a side-lying position | |||
| Initiate bolus of primary IV fluids | |||
| Apply oxygen at 10 L/min via venturi mask | |||
| Perform sterile vaginal examination (SVE) | |||
| Assign a Bishop score | |||
| A,B,C,D |
Correct Answer: Increasing oxytocin, side-lying position, IV fluid bolus, and oxygen are anticipated to support labor progress and fetal oxygenation. SVE and Bishop score are nonessential as recent cervical assessment was done.
Rationale:
Extract:
New mother learning to use a bulb syringe
Question 4 of 5
A nurse is teaching a new mother how to use a bulb syringe to suction her newborn's secretions. Which of the following instructions should the nurse include?
Correct Answer: Stopping suctioning when the newborn's cry sounds clear indicates clear airways, ensuring effective and safe use of the bulb syringe.
Rationale:
Extract:
Client who reports that her menstrual period is 2 weeks late
Question 5 of 5
A nurse in a prenatal clinic is caring for a client who reports that her menstrual period is 2 weeks late. The client appears anxious and asks the nurse if she is pregnant. Which of the following responses should the nurse make?
Correct Answer: Exploring the client's menstrual cycle history acknowledges other causes of a missed period, such as stress or hormonal changes, and helps guide further assessment.
Rationale: