Questions 43

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ATI LPN n105t Maternal Newborn Exam Questions

Extract:

A client who wants to know if it is possible to have a vaginal birth after a cesarean birth (VBAC)


Question 1 of 5

A nurse is caring for a client who wants to know it is possible to have a vaginal birth after a cesarean birth (VBAC). Which of the following statements by the nurse is appropriate?

Correct Answer: B

Rationale: The type of uterine incision (e.g., low transverse) determines VBAC eligibility due to the risk of uterine rupture.

Extract:

A client who had an epidural anesthesia block during the early stages of labor. The client's blood pressure is 80/40 mm Hg and the fetal heart recording is 140/min.


Question 2 of 5

A nurse is assisting with the care of a client who had an epidural anesthesia block during the early stages of labor. The client's blood pressure is 80/40 mm Hg and the fetal heart recording is 140/min. Which of the following actions should the nurse take first?

Correct Answer: A

Rationale: Place the client in a lateral position: This improves uteroplacental perfusion and venous return, addressing hypotension.

Extract:

A client has been diagnosed with threatened abortion


Question 3 of 5

The client has been diagnosed with threatened abortion. The description of threatened abortion includes which of the following?

Correct Answer: A

Rationale: Cramping and backache with light spotting: These are classic signs of a threatened abortion, where the pregnancy is at risk but not yet lost.

Extract:

A client who is at 38 weeks of gestation and has a score of 10 on her biophysical profile


Question 4 of 5

A nurse is caring for a client who is at 38 weeks of gestation and has a score of 10 on her biophysical profile. Which of the following actions should the nurse take?

Correct Answer: A

Rationale: A score of 8-10 on a biophysical profile indicates fetal well-being, requiring no intervention.

Extract:

A client who is in labor. The doctor documents the vaginal examination as: 3 cm, 30%, and -1.


Question 5 of 5

A nurse is assisting in the care of a client who is in labor. The nurse evaluates this documentation to mean which of the following?

Correct Answer: D

Rationale: The cervix is dilated 3 cm, it is effaced 30%, and the presenting part is 1 cm below the ischial spines: This interpretation is accurate, matching the documented findings.

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