ATI RN
ATI RN maternal Newborn 2019 with NGN Questions
Extract:
A client who is receiving oxytocin to induce labor
Question 1 of 5
A nurse is caring for a client who is receiving oxytocin to induce labor. The nurse should discontinue the oxytocin if which of the following occurs?
Correct Answer: A
Rationale: Six contractions in 10 minutes indicate hyperstimulation, risking fetal distress, so oxytocin should be stopped. Normal contraction duration, moderate variability, and early decelerations are reassuring.
Extract:
A client who is in the latent phase of the first stage of labor and is in pain
Question 2 of 5
A nurse is caring for a client who is in the latent phase of the first stage of labor and is in pain. Which of the following nursing interventions are appropriate to reduce pain? (Select all that apply.)
Correct Answer: B,C,D,E
Rationale: Counterpressure, ambulation, nitrous oxide, and sitting upright reduce pain in early labor. Leopold maneuvers assess fetal position, not pain.
Extract:
A postpartum client who is experiencing uterine atony
Question 3 of 5
A nurse is preparing to perform a fundal massage for a postpartum client who is experiencing uterine atony. In which order should the nurse plan to perform the following actions?
Correct Answer: A,B,C,D
Rationale: Correct sequence: Position client (
A), place hands (
B), massage fundus (
C), observe bleeding (
D) to stimulate contractions and monitor hemorrhage.
Extract:
A client who has placenta previa
Question 4 of 5
A nurse is caring for a client who has placenta previa. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: Painless vaginal bleeding is the hallmark of placenta previa due to the placenta covering the cervix. Headaches, hypertonicity, or a rigid abdomen are more associated with other conditions like preeclampsia or abruption.
Extract:
A client who is postpartum and experiencing hypovolemic shock
Question 5 of 5
A nurse is caring for a client who is postpartum and experiencing hypovolemic shock. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: Hypovolemic shock causes cool, clammy skin due to poor perfusion. Urinary output drops below 30 mL/hr, pulses weaken, and respiratory rate increases above 18/min.