Questions 48

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ATI RN Test Bank

ATI Custom Maternal Newborn Questions

Extract:

Client receiving opioid epidural analgesia during labor


Question 1 of 5

A nurse is caring for a client who is receiving opioid epidural analgesia during labor. Which of the following findings is the nurse's priority?

Correct Answer: A

Rationale: Hypotension (80/56 mm Hg) is the priority as it can reduce placental blood flow, risking fetal distress, and requires immediate intervention.

Extract:

Primigravida client at term, having contractions, unsure if in labor


Question 2 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: C

Rationale: Changes in the cervix, such as effacement and dilation, are the most accurate indicators of true labor, caused by contractions and fetal pressure.

Extract:

Woman in labor, vacuum extraction


Question 3 of 5

A maternal indication for the use of vacuum extraction is

Correct Answer: A

Rationale: Maternal exhaustion indicates vacuum extraction to assist delivery when the mother cannot push effectively, reducing fatigue and distress.

Extract:

Newborn reflex observation


Question 4 of 5

What reflex is elicited: Fanning of toes when stroking lateral edge of baby's foot?

Correct Answer: A

Rationale: Babinski's Reflex is elicited by fanning of the toes when the lateral edge of the foot is stroked, normal in infants up to 2 years.

Extract:

Vacuum extraction birth


Question 5 of 5

While assisting with a vacuum extraction birth, what should the nurse immediately report to the physician?

Correct Answer: D

Rationale: Persistent fetal bradycardia below 100 bpm indicates potential fetal distress, requiring immediate reporting to ensure fetal safety.

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