ATI RN
ATI Custom Maternal Newborn Questions
Extract:
Client at 40 weeks gestation, in labor, electronic fetal heart rate monitor tracing
Question 1 of 5
A nurse is observing the electronic fetal heart rate monitor tracing for a client who is at 40 weeks of gestation and is in labor. The nurse should suspect a problem with the umbilical cord when she observes which of the following patterns?
Correct Answer: C
Rationale: Variable decelerations indicate fetal hypoxia due to umbilical cord compression, requiring urgent intervention as they suggest the cord is trapped or twisted, impairing fetal oxygen supply.
Extract:
Student nurse learning about milk production
Question 2 of 5
The student nurse learns that the hormone necessary for milk production is
Correct Answer: B
Rationale: Prolactin, secreted by the pituitary gland, is responsible for milk production, especially after delivery when estrogen and progesterone levels drop.
Extract:
Client in latent phase of labor for 12 hours, requesting medication to rest
Question 3 of 5
A client in latent phase of labor for the past 12 hours is requesting medication to help her rest.
Correct Answer: A
Rationale: Fentanyl is a fast-acting opioid suitable for pain relief and sedation in labor, with less risk of prolonged effects compared to other options.
Extract:
Mother in labor, nonreassuring fetal heart rate pattern, lying on left side
Question 4 of 5
The nurse notes a nonreassuring pattern of the fetal heart rate. The mother is already lying on her left side. What nursing action is indicated?
Correct Answer: B
Rationale: Placing a wedge under the left hip is a common intervention to improve uteroplacental blood flow by tilting the uterus off the vena cava, enhancing venous return and cardiac output, which can positively affect fetal oxygenation.
Extract:
Woman post-spinal anesthesia, pounding headache rated 7/10
Question 5 of 5
A woman had spinal anesthesia for delivery. Now she complains of a pounding headache rated 7/10. What action by the nurse is most appropriate?
Correct Answer: B
Rationale: A pounding headache post-spinal anesthesia suggests a spinal headache from cerebrospinal fluid leakage, best treated with a blood patch to seal the dural puncture.