ATI RN
ATI RN Maternal Newborn Online Practice 2019 B with NGN Questions
Extract:
Client in labor, requesting epidural anesthesia
Question 1 of 5
A nurse is planning care for a client who is in labor and is requesting epidural anesthesia for pain control. Which of the following actions should the nurse include in the plan of care?
Correct Answer: Monitoring blood pressure every minute after the first epidural dose is critical to detect hypotension, a common side effect, ensuring timely intervention to protect maternal and fetal well-being.
Rationale:
Extract:
Client on postpartum unit, experiencing hypovolemic shock
Question 2 of 5
A nurse on a postpartum unit is caring for a client who is experiencing hypovolemic shock. After notifying the provider, which of the following actions should the nurse take next?
Correct Answer: Massaging the fundus promotes uterine contraction, addressing uterine atony, a common cause of postpartum hemorrhage leading to hypovolemic shock.
Rationale:
Extract:
Client in active labor with meconium staining of amniotic fluid, reassuring fetal heart rate
Question 3 of 5
A nurse is caring for a client in active labor who has meconium staining of the amniotic fluid. The nurse notes a reassuring fetal heart rate (FHR) tracing from the external fetal monitor. Which of the following actions should the nurse perform?
Correct Answer: Preparing resuscitation equipment is prudent due to the risk of meconium aspiration syndrome, even with a reassuring FHR, ensuring readiness for potential newborn distress.
Rationale:
Extract:
New parent learning about newborn safety
Question 4 of 5
A nurse is teaching a new parent about newborn safety. Which of the following instructions should the nurse include in the teaching?
Correct Answer: Checking bath water temperature with the hand prevents burns, ensuring newborn safety, unlike unsafe practices like blankets or car seat napping.
Rationale:
Extract:
Client in labor, provider performs amniotomy
Question 5 of 5
A nurse is caring for a client who is in labor and assists the provider who performs an amniotomy. Which of the following is the priority action by the nurse following the procedure?
Correct Answer: Assessing the fetal heart rate is the priority post-amniotomy to detect cord prolapse or compression, ensuring fetal well-being.
Rationale: