ATI RN
ATI RN Maternal Newborn Online Practice 2019 B with NGN Questions
Extract:
Client in labor, reports increasing rectal pressure, contractions 2 to 3 min apart, lasting 80 to 90 seconds, cervix dilated to 9 cm
Question 1 of 5
A nurse is caring for a client who is in labor and reports increasing rectal pressure. She is experiencing contractions 2 to 3 min apart, each lasting 80 to 90 seconds, and a vaginal examination reveals that her cervix is dilated to 9 cm. The nurse should identify that the client is in which of the following phases of labor?
Correct Answer: The transition phase occurs when the cervix is dilated from 8 to 10 cm, with strong contractions every 2 to 3 minutes, lasting 80 to 90 seconds, and increasing rectal pressure due to fetal descent, as seen with the client's 9 cm dilation.
Rationale:
Extract:
Client at 38 weeks of gestation, experiencing polyhydramnios
Question 2 of 5
A nurse is caring for a client who is admitted to the maternity unit at 38 weeks of gestation and who is experiencing polyhydramnios. The nurse should understand that this diagnosis means which of the following?
Correct Answer: Polyhydramnios is defined as an excessive amount of amniotic fluid, often linked to conditions like fetal anomalies or maternal diabetes, but primarily characterized by fluid volume.
Rationale:
Extract:
Client with a new prescription for dinoprostone gel
Question 3 of 5
A nurse in a prenatal clinic is teaching a client who has a new prescription for dinoprostone gel. Which of the following statements should the nurse include in the teaching?
Correct Answer: Dinoprostone promotes cervical ripening by softening the cervix, preparing it for labor induction, which is the key teaching point.
Rationale:
Extract:
Client at 22 weeks of gestation, reports blotchy hyperpigmentation on forehead
Question 4 of 5
A nurse is caring for a client who is at 22 weeks of gestation and reports concern about the blotchy hyperpigmentation on her forehead. Which of the following actions should the nurse take?
Correct Answer: Explaining that hyperpigmentation (melasma) is a normal pregnancy change due to hormonal shifts reassures the client and addresses her concern.
Rationale:
Extract:
Client at 24 weeks of gestation, preparing for a 1-hr glucose tolerance test
Question 5 of 5
A nurse is teaching a client who is at 24 weeks of gestation regarding a 1-hr glucose tolerance test. Which of the following statements should the nurse include in the teaching?
Correct Answer: A blood glucose level of 130 to 140 mg/dL is considered a positive screening result for the 1-hour glucose tolerance test, indicating the need for further testing to diagnose gestational diabetes.
Rationale: