ATI RN
ATI OB Maternal Newborn Nurs 4650 Questions
Extract:
Client in premature labor receiving terbutaline
Question 1 of 5
A nurse is caring for a client who is in premature labor and is receiving terbutaline. The nurse should monitor the client for which of the following adverse effects that should be reported to the provider?
Correct Answer: B
Rationale: Dyspnea may indicate pulmonary edema, a serious terbutaline side effect requiring immediate reporting.
Extract:
Client in labor with epidural anesthesia
Question 2 of 5
A nurse is assessing a client in labor who has had epidural anesthesia for pain relief. Which of the following findings should the nurse identify as a complication from the epidural block?
Correct Answer: A
Rationale: Hypotension is a common epidural complication due to sympathetic nerve blockade, requiring prompt intervention.
Extract:
Client at 30 weeks of gestation in preterm labor
Question 3 of 5
A nurse is admitting a client who is at 30 weeks of gestation and is in preterm labor. The client has a new prescription for betamethasone and asks the nurse about the purpose of this medication. The nurse should provide which of the following explanations?
Correct Answer: D
Rationale: Betamethasone accelerates fetal lung maturity, reducing the risk of respiratory distress syndrome in preterm infants.
Extract:
Client following an amniotomy in the active phase of the first stage of labor
Question 4 of 5
A nurse is caring for a client following an amniotomy, who is now in the active phase of the first stage of labor. Which of the following actions should the nurse implement with this client?
Correct Answer: A
Rationale: A full bladder can impede fetal descent and increase discomfort, so encouraging urination every 2 hours supports labor progress.
Extract:
Client at 40 weeks of gestation in labor
Question 5 of 5
A nurse is observing the electronic fetal heart rate monitor tracing for a client who is at 40 weeks of gestation and is in labor. The nurse should suspect a problem with the umbilical cord when she observes which of the following patterns?
Correct Answer: C
Rationale: Variable decelerations indicate potential umbilical cord compression, requiring immediate intervention to prevent fetal hypoxia.