ATI RN
ATI Capstone Maternal Newborn Questions
Extract:
Client receiving oxytocin to augment labor, nurse notes recurrent variable decelerations of the FHR.
Question 1 of 5
A nurse is caring for a client who is receiving oxytocin to augment labor. The nurse notes recurrent variable decelerations of the FHR. Which of the following actions should the nurse take first?
Correct Answer: C
Rationale: Discontinuing oxytocin reduces uterine contractions, alleviating cord compression and improving fetal oxygenation, which is the first step in managing recurrent variable decelerations of fetal heart rate.
Extract:
Client who is Rh-negative.
Question 2 of 5
A nurse is teaching a pregnant client who is Rh-negative about Rho(D) immune globulin. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: A
Rationale: Rho(
D) immune globulin administered postpartum prevents maternal sensitization to Rh-positive fetal blood cells, reducing risks of hemolytic disease in subsequent pregnancies by suppressing maternal immune response.
Extract:
Question 3 of 5
A nurse is caring for a client. Which of the following interventions should the nurse perform?
Correct Answer: B
Rationale: Massaging the fundus stimulates uterine contractions, reducing uterine atony and preventing further hemorrhage. This is a first-line intervention for postpartum excessive bleeding.
Question 4 of 5
Following this type of birth, the nurse should monitor the client for hemorrhage and monitor the newborn for facial nerve palsy. What additional care should the nurse consider?
Correct Answer: B
Rationale: Jaundice assessment is critical for newborns with facial bruising or cephalohematoma, as bilirubin levels may rise due to blood breakdown in the localized hematoma.
Extract:
Client at 29 weeks of gestation with phenylketonuria.
Question 5 of 5
A nurse is providing dietary teaching to a client who is at 29 weeks of gestation and has phenylketonuria. Which of the following food suggestions should the nurse include?
Correct Answer: B
Rationale: Apples are low in phenylalanine, making them a safe option for individuals with phenylketonuria. They provide essential nutrients without contributing to phenylalanine accumulation.