ATI RN
ATI OB Maternal Newborn Nurs 4650 Questions
Extract:
Client at 40 weeks of gestation in labor
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 potential umbilical cord compression, requiring immediate intervention to prevent fetal hypoxia.
Extract:
Client experiencing rapidly progressing labor
Question 2 of 5
A nurse is caring for a client who presents to a labor and delivery unit experiencing rapidly progressing labor. Which of the following is the priority action for the nurse to take?
Correct Answer: C
Rationale: Applying perineal pressure controls delivery speed, preventing uncontrolled delivery and fetal injury in rapid labor.
Extract:
Newborn's parent
Question 3 of 5
A nurse is teaching a newborn's parent to care for the umbilical cord stump. Which of the following instructions should the nurse include?
Correct Answer: C
Rationale: Sponge baths keep the cord stump dry, promoting healing and preventing infection, unlike petroleum jelly or covering with a diaper, which can retain moisture.
Extract:
Client receiving magnesium sulfate for suspected placenta previa
Question 4 of 5
A nurse is assessing a client who is receiving magnesium sulfate to treat a suspected placenta previa. Which of the following findings must the nurse report to the provider?
Correct Answer: D
Rationale: Urinary output <30 mL/hr indicates potential renal insufficiency, a serious magnesium sulfate side effect requiring immediate reporting.
Extract:
Client receiving magnesium sulfate for preterm labor
Question 5 of 5
A nurse is assessing a client who received magnesium sulfate to treat preterm labor. Which of the following clinical findings should the nurse identify as an indication of toxicity of magnesium sulfate therapy and report to the provider?
Correct Answer: A
Rationale: Respiratory depression is a critical sign of magnesium toxicity, necessitating immediate reporting and intervention.