ATI LPN
ATI PN Maternal Newborn Rn X1 Questions
Extract:
newborn, vacuum extraction, swelling on head
Question 1 of 5
A nurse is caring for a newborn who was delivered by vacuum extraction and has swelling on his head that crosses the suture line. The newborn's mother asks about the swelling on her newborn's head. Which of the following responses should the nurse make?
Correct Answer: C
Rationale: Caput succedaneum is swelling from vacuum pressure, crossing suture lines, and resolves in days.
Extract:
client, last menstrual period May 4, Naegele's rule
Question 2 of 5
A nurse in a prenatal clinic is determining a client's estimated date of delivery using Naegele's rule. The first day of her last menstrual period was May 4. Which of the following dates should the nurse tell the client is her estimated date of delivery?
Correct Answer: C
Rationale: Using Naegele’s rule (add 1 year, subtract 3 months, add 7 days), May 4 becomes February 11; adjusting for 40 weeks gestation, February 27 is the closest accurate date.
Extract:
client, difficult prolonged labor, severe backache
Question 3 of 5
A nurse is assisting with the care of a client who is in labor. The client's labor is difficult and prolonged and she reports a severe backache. Which of the following factors is a contributing cause of difficult, prolonged labor?
Correct Answer: B
Rationale: Persistent occiput posterior position causes poor pelvic fit, prolonging labor and causing back pain.
Extract:
client, trial of labor for vaginal birth after cesarean (TOLAC)
Question 4 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, first stage of labor, umbilical cord protruding
Question 5 of 5
A nurse is assisting with the care of a client who is in the first stage of labor. The nurse observes the umbilical cord protruding from the vagina. Which of the following actions should the nurse take FIRST?
Correct Answer: B
Rationale: Relieving cord compression by positioning and elevating the presenting part is the priority to prevent fetal hypoxia.