ATI RN
ATI OB Maternal Newborn Nurs 4650 Questions
Extract:
New mother concerned about newborn's eyes crossing
Question 1 of 5
A nurse is caring for a new mother who is concerned that her newborn's eyes cross. Which of the following statements is a therapeutic response by the nurse?
Correct Answer: A
Rationale: Newborn eye crossing is normal due to immature eye muscle control, typically resolving by 3 months.
Extract:
Client in active labor with 7 cm cervical dilation, 100% effacement, fetus at +1 station, intact membranes
Question 2 of 5
A nurse is caring for a client who is in active labor with 7 cm of cervical dilation and 100% effacement. The fetus is at 1+ station, and the client's amniotic membranes are intact. The client suddenly states that she needs to push. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Panting prevents pushing before full dilation (10 cm), avoiding cervical edema and labor complications.
Extract:
Term macrosomic newborn whose mother has poorly controlled type 2 diabetes with respiratory distress syndrome
Question 3 of 5
A nurse is caring for a term macrosomic newborn whose mother has poorly controlled type 2 diabetes. The newborn has respiratory distress syndrome. The nurse should be aware that the most likely cause of the respiratory distress is which of the following?
Correct Answer: C
Rationale: Hyperinsulinemia in maternal diabetes inhibits surfactant production, causing respiratory distress syndrome in the newborn.
Extract:
Client at 30 weeks of gestation in preterm labor
Question 4 of 5
A nurse is admitting a client who is at 30 weeks of gestation and is in preterm labor. The client has a new prescription for betamethasone and asks the nurse about the purpose of this medication. The nurse should provide which of the following explanations?
Correct Answer: D
Rationale: Betamethasone accelerates fetal lung maturity, reducing the risk of respiratory distress syndrome in preterm infants.
Extract:
Client at 40 weeks of gestation in labor with suspected placenta previa, reports saturated pads
Question 5 of 5
A nurse is caring for a client who is in labor at 40 weeks of gestation and reports that she has saturated two pads with blood. The nurse caring for her suspects placenta previa. Which of the following is an appropriate nursing action?
Correct Answer: A
Rationale: Placenta previa often requires cesarean birth to prevent severe bleeding, as vaginal delivery can exacerbate hemorrhage.