ATI RN
ATI RN Maternal Newborn Online Practice 2019 B with NGN Questions
Extract:
Client in first stage of labor
Question 1 of 5
A nurse is caring for a client who is in the first stage of labor. Which of the following findings should the nurse identify as a cause for concern?
Correct Answer: Contractions lasting 100 seconds are excessively long, potentially causing fetal distress due to prolonged reduced uteroplacental perfusion, requiring immediate attention.
Rationale:
Extract:
Client in prenatal clinic, Leopold maneuvers show round, firm, moveable part in fundus, long smooth surface on right side
Question 2 of 5
A nurse in a prenatal clinic is caring for a client. Using Leopold maneuvers, the nurse palpates a round, firm, moveable part in the fundus of the uterus and a long, smooth surface on the client's right side. In which abdominal quadrant should the nurse expect to auscultate fetal heart tones?
Correct Answer: With the fetal back on the right side, fetal heart tones are best heard in the right upper quadrant, where the fetal chest is closest to the maternal abdomen.
Rationale:
Extract:
Client who is a primigravida, at term, unsure if in labor
Question 3 of 5
A nurse is caring for a client who is a primigravida, at term, and having contractions but is stating that she is 'not really sure if she is in labor or not.' Which of the following should the nurse recognize as a sign of true labor?
Correct Answer: Cervical changes, such as dilation and effacement, are the definitive signs of true labor, distinguishing it from false labor.
Rationale:
Extract:
Client at 38 weeks of gestation, in first stage of labor
Question 4 of 5
A nurse is admitting a client who is at 38 weeks of gestation and is in the first stage of labor. Which of the following assessment findings should the nurse report to the provider first?
Correct Answer: A contraction lasting 2 minutes is excessively long, risking fetal hypoxia due to reduced uterine blood flow, requiring immediate reporting.
Rationale:
Extract:
Client who is pregnant, fetal position as left occipital anterior
Question 5 of 5
A nurse is assessing fetal heart tones for a client who is pregnant. The nurse has determined the fetal position as left occipital anterior. To which of the following areas of the client's abdomen should the nurse apply the ultrasound transducer to assess the point of maximum intensity of the fetal heart?
Correct Answer: In left occipital anterior position, the fetal heart is best heard in the left lower quadrant, where the fetal back is closest to the maternal abdomen.
Rationale: