ATI RN
ATI RN Maternal Newborn Online Practice 2019 B with NGN Questions
Extract:
Client in labor, umbilical cord protruding from the vagina
Question 1 of 5
A nurse is performing a vaginal examination on a client who is in labor and observes the umbilical cord protruding from the vagina. Which of the following actions should the nurse take first?
Correct Answer: Applying internal upward pressure with two gloved fingers relieves cord compression, restoring fetal blood flow and preventing hypoxia, making it the priority action for umbilical cord prolapse.
Rationale:
Extract:
Client who is Rh negative
Question 2 of 5
A nurse is teaching a client who is Rh negative about Rho(D) immune globulin. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: Rho(D) immune globulin is administered after procedures like amniocentesis to prevent Rh sensitization in Rh-negative mothers, indicating the client's understanding.
Rationale:
Extract:
Client undergoing nonstress test
Question 3 of 5
A nurse is planning care for a client who is to undergo a nonstress test. Which of the following actions should the nurse include in the plan of care?
Correct Answer: Instructing the client to press a button for each fetal movement correlates movements with fetal heart rate changes, essential for assessing fetal well-being during a nonstress test.
Rationale:
Extract:
Client who reports that her menstrual period is 2 weeks late
Question 4 of 5
A nurse in a prenatal clinic is caring for a client who reports that her menstrual period is 2 weeks late. The client appears anxious and asks the nurse if she is pregnant. Which of the following responses should the nurse make?
Correct Answer: Exploring the client's menstrual cycle history acknowledges other causes of a missed period, such as stress or hormonal changes, and helps guide further assessment.
Rationale:
Extract:
Client who is a primigravida, at term, unsure if in labor
Question 5 of 5
A nurse is caring for a client who is a primigravida, at term, and having contractions but is stating that she is 'not really sure if she is in labor or not.' Which of the following should the nurse recognize as a sign of true labor?
Correct Answer: Cervical changes, such as dilation and effacement, are the definitive signs of true labor, distinguishing it from false labor.
Rationale: