ATI LPN
ATI PN Maternal Newborn Rn X1 Questions
Extract:
client, trial of labor for vaginal birth after cesarean (TOLAC)
Question 1 of 5
A nurse is caring for a client who wants to know if it is possible to have a trial of labor for a vaginal birth after a cesarean birth (TOLAC). Which of the following statements by the nurse is appropriate?
Correct Answer: B
Rationale: The type of incision (e.g., low transverse vs. classical) determines the risk of uterine rupture during VBAC, making it a critical factor for TOLAC eligibility.
Extract:
client, 14 hr postpartum, boggy fundus, large lochia rubra
Question 2 of 5
A nurse is collecting data from a client who is 14 hr postpartum. The nurse notes: breasts soft, fundus boggy 4 fingerbreadths above the umbilicus and deviated to the right, large lochia rubra, temperature 37.7°C (100°F), pulse rate 88/min, respiratory rate 18/min. Which of the following actions should the nurse perform?
Correct Answer: A
Rationale: A full bladder is the likely cause of the deviated, boggy fundus; emptying it is the first action to reduce bleeding.
Extract:
client, trial of labor for vaginal birth after cesarean (TOLAC)
Question 3 of 5
A nurse is caring for a client who wants to know if it is possible to have a trial of labor for a vaginal birth after a cesarean birth (TOLAC). Which of the following statements by the nurse is appropriate?
Correct Answer: B
Rationale: The type of incision (e.g., low transverse vs. classical) determines the risk of uterine rupture during VBAC, making it a critical factor for TOLAC eligibility.
Extract:
client, category II or III fetal heart tracing
Question 4 of 5
Intrauterine resuscitation for an evolving category II or III tracing includes (Select all that apply):
Correct Answer: B,C,D,F
Rationale: B, C, D, F: These actions improve fetal oxygenation and perfusion. A and E are incorrect as they delay care or worsen fetal distress.
Extract:
client, immediate postoperative period, ectopic pregnancy, salpingostomy
Question 5 of 5
A nurse is caring for a client in the immediate postoperative period following removal of an ectopic pregnancy via salpingostomy. For which of the following indications should the nurse administer Rho(D) immune globulin?
Correct Answer: A
Rationale: Rho(
D) immune globulin is administered to Rh-negative clients to prevent sensitization from fetal-maternal blood mixing during ectopic pregnancy.