ATI RN
ATI RN Maternal Newborn Online Practice 2019 B with NGN Questions
Extract:
Client in first stage of labor, using pattern-paced breathing, reports lightheadedness and tingling fingers
Question 1 of 5
A nurse is caring for a client who is in the first stage of labor and is using pattern-paced breathing. The client says she feels lightheaded and her fingers are tingling. Which of the following actions should the nurse take?
Correct Answer: Tucking the chin to the chest reduces hyperventilation, correcting respiratory alkalosis causing lightheadedness and tingling, without the risks of outdated methods like paper bags.
Rationale:
Extract:
Client in labor with contractions 4 min apart
Question 2 of 5
A nurse receives report about a client who is in labor and is having contractions 4 min apart. Which of the following patterns should the nurse expect on the fetal monitoring tracing?
Correct Answer: Contractions every 4 minutes typically last 60 seconds with a 3-minute rest, consistent with active labor patterns on fetal monitoring.
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 who is a primigravida, at term, unsure if in labor
Question 4 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 in active labor with meconium staining of amniotic fluid, reassuring fetal heart rate
Question 5 of 5
A nurse is caring for a client in active labor who has meconium staining of the amniotic fluid. The nurse notes a reassuring fetal heart rate (FHR) tracing from the external fetal monitor. Which of the following actions should the nurse perform?
Correct Answer: Preparing resuscitation equipment is prudent due to the risk of meconium aspiration syndrome, even with a reassuring FHR, ensuring readiness for potential newborn distress.
Rationale: