ATI RN
ATI RN Maternal Newborn 2023/24 1st Attempt & Retake Questions
Extract:
Question 1 of 5
A nurse is caring for a client who reports spontaneous rupture of membranes. The nurse observes fetal bradycardia on the FHR tracing and notices that the umbilical cord is protruding. After calling for assistance and notifying the provider, which of the following actions should the nurse take next?
Correct Answer: B
Rationale: The correct answer is B: Cover the umbilical cord with a sterile saline-saturated towel. This action is essential to prevent compression and drying of the umbilical cord, which could lead to fetal hypoxia and compromise fetal circulation. By covering the umbilical cord with a sterile saline-saturated towel, the nurse can protect the cord and maintain fetal perfusion until delivery can be expedited. Performing a vaginal examination (choice
A) could further compress the cord and worsen the situation. Administering oxygen (choice
C) may be beneficial but is not the priority in this urgent situation. Initiating IV fluids (choice
D) is not the immediate priority when fetal bradycardia and umbilical cord prolapse are present.
Question 2 of 5
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Question 3 of 5
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Question 4 of 5
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Question 5 of 5
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