ATI RN
ATI OB Maternal Newborn Nurs 4650 Questions
Extract:
Client in the first stage of labor with prolapsed umbilical cord
Question 1 of 5
A nurse is caring for a client who is in the first stage of labor. The nurse observes the umbilical cord. Which of the following actions should the nurse perform first?
Correct Answer: A
Rationale: The knee-chest position relieves pressure on a prolapsed cord, preventing fetal hypoxia as the first priority.
Extract:
Client receiving magnesium sulfate for suspected placenta previa
Question 2 of 5
A nurse is assessing a client who is receiving magnesium sulfate to treat a suspected placenta previa. Which of the following findings must the nurse report to the provider?
Correct Answer: D
Rationale: Urinary output <30 mL/hr indicates potential renal insufficiency, a serious magnesium sulfate side effect requiring immediate reporting.
Extract:
Client who is postpartum and received methylergonovine
Question 3 of 5
A nurse is caring for a client who is postpartum and received methylergonovine. Which one of the following findings indicate that the medication was effective?
Correct Answer: C
Rationale: A firm fundus indicates effective uterine contraction, the desired effect of methylergonovine to prevent postpartum hemorrhage.
Extract:
Client experiencing rapidly progressing labor
Question 4 of 5
A nurse is caring for a client who presents to a labor and delivery unit experiencing rapidly progressing labor. Which of the following is the priority action for the nurse to take?
Correct Answer: C
Rationale: Applying perineal pressure controls delivery speed, preventing uncontrolled delivery and fetal injury in rapid labor.
Extract:
Client with suspected ectopic pregnancy at 8 weeks of gestation
Question 5 of 5
A nurse is caring for a client who has a suspected ectopic pregnancy at 8 weeks of gestation. Which of the following manifestations should the nurse expect to identify as consistent with the diagnosis?
Correct Answer: C
Rationale: Unilateral cramp-like pain is a common symptom of ectopic pregnancy, caused by tubal stretching or rupture.