ATI RN
ATI OB Maternal Newborn Nurs 4650 Questions
Extract:
Client experiencing rapidly progressing labor
Question 1 of 5
A nurse is caring for a client who presents to a labor and delivery unit experiencing rapidly progressing labor. Which of the following is the priority action for the nurse to take?
Correct Answer: C
Rationale: Applying perineal pressure controls delivery speed, preventing uncontrolled delivery and fetal injury in rapid labor.
Extract:
Client who is pregnant
Question 2 of 5
A nurse is assessing a client who is pregnant for preeclampsia. Which of the following findings should indicate to the nurse that the client requires further evaluation for this disorder?
Correct Answer: B
Rationale: Elevated blood pressure (>140/90 mm Hg) is a hallmark of preeclampsia, warranting further evaluation.
Extract:
Client who just delivered a newborn
Question 3 of 5
A nurse is caring for a client who just delivered a newborn. Following the delivery, the mother asks, 'How will I know to care for the newborn?'
Correct Answer: A
Rationale: Drying and covering the newborn prevents heat loss, a critical immediate care step post-delivery.
Extract:
Newborn 1 minute after delivery with slow, weak cry, some flexion of extremities, grimace to suctioning, pink body, blue extremities
Question 4 of 5
A nurse is caring for a newborn and calculating the Apgar score at 1 minute after delivery, the following findings are noted: Slow, weak cry, Some flexion of extremities, Grimace in response to suctioning at the nares, Body pink in color, Blue extremities. Calculate the newborn's Apgar score.
Correct Answer: 5
Rationale: Apgar score: Heart rate (1, slow), respiratory effort (1, weak cry), muscle tone (1, some flexion), reflex irritability (1, grimace), color (1, acrocyanosis) totals 5.
Extract:
Newborn's parent
Question 5 of 5
A nurse is teaching a newborn's parent to care for the umbilical cord stump. Which of the following instructions should the nurse include?
Correct Answer: C
Rationale: Sponge baths keep the cord stump dry, promoting healing and preventing infection, unlike petroleum jelly or covering with a diaper, which can retain moisture.