Questions 75

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ATI RN Maternal Newborn Online Practice 2019 B with NGN Questions

Extract:

Client who is 2 hr postpartum


Question 1 of 5

A nurse is planning care for a client who is 2 hr postpartum. Which of the following interventions should the nurse plan to implement during the taking-hold phase of postpartum behavioral adjustment?

Correct Answer: During the taking-hold phase, the mother is alert and ready to learn newborn care. Demonstrating a newborn bath supports her active engagement and confidence in caregiving, aligning with this phase's focus.

Rationale:

Extract:

Client at 30 weeks of gestation, routine prenatal visit


Question 2 of 5

A nurse is caring for a client who is at 30 weeks of gestation during a routine prenatal visit. Which of the following findings should the nurse report to the provider?

Correct Answer: Facial swelling may indicate preeclampsia, a serious condition requiring immediate reporting, unlike common pregnancy findings like varicose veins or mild edema.

Rationale:

Extract:

Client at 42 weeks of gestation, 29-year-old, Gravida 2 Para 1, admitted for oxytocin induction


Question 3 of 5

Based on the assessment findings, which of the following actions should the nurse plan to take? (Select All that Apply)

Correct Answer: All actions -oxygen, increasing oxytocin, IV fluid bolus, SVE, and side-lying position- are anticipated to support labor induction and monitor progress.

Rationale:

Extract:

Client in labor, fetus in right occiput posterior position, dilated to 8 cm, reports back pain


Question 4 of 5

A nurse is caring for a client who is in labor and whose fetus is in the right occiput posterior position. The client is dilated to 8 cm and reports back pain. Which of the following actions should the nurse take?

Correct Answer: Applying sacral counterpressure relieves back pain caused by the fetus's occiput posterior position, which presses against the sacrum during contractions.

Rationale:

Extract:

Client in labor with external fetal monitor, late decelerations observed


Question 5 of 5

A nurse is caring for a client who is in labor and has an external fetal monitor. The nurse observes late decelerations on the monitor strip and interprets them as indicating which of the following?

Correct Answer: Late decelerations indicate uteroplacental insufficiency, where reduced blood flow to the fetus during contractions causes a drop in fetal heart rate, requiring intervention.

Rationale:

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