ATI RN
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.