ATI RN
ATI RN Maternal Newborn Online Practice 2019 B with NGN Questions
Extract:
Client receiving oxytocin for labor induction, intrauterine pressure catheter in place
Question 1 of 5
A nurse is caring for a client who is receiving oxytocin for induction of labor and has an intrauterine pressure catheter (IUPC) placed to monitor uterine contractions. For which of the following contraction patterns should the nurse discontinue the infusion of oxytocin?
Correct Answer: Contractions lasting 90 to 120 seconds indicate hyperstimulation, risking fetal hypoxia, and require discontinuation of oxytocin to restore normal uterine activity.
Rationale:
Question 2 of 5
A nurse is caring for a client who is receiving oxytocin for induction of labor and has an intrauterine pressure catheter (IUPC) placed to monitor uterine contractions. For which of the following contraction patterns should the nurse discontinue the infusion of oxytocin?
Correct Answer: Contractions lasting 90 to 120 seconds indicate hyperstimulation, risking fetal hypoxia, and require discontinuation of oxytocin to restore normal uterine activity.
Rationale:
Extract:
Client at 38 weeks of gestation, in first stage of labor
Question 3 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 in labor, fetus in right occiput posterior position, dilated to 8 cm, reports back pain
Question 4 of 5
A nurse is caring for a client who is in labor and whose fetus is in the right occiput posterior position. The client is dilated to 8 cm and reports back pain. Which of the following actions should the nurse take?
Correct Answer: Applying sacral counterpressure relieves back pain caused by the fetus's occiput posterior position, which presses against the sacrum during contractions.
Rationale:
Extract:
Client at 32 weeks of gestation
Question 5 of 5
A nurse is reviewing the medical record of a newly admitted client who is at 32 weeks of gestation. Which of the following conditions is an indication for fetal assessment using electronic fetal monitoring?
Correct Answer: Oligohydramnios, low amniotic fluid, risks fetal growth restriction, necessitating electronic fetal monitoring to assess fetal well-being.
Rationale: