ATI RN
ATI RN Maternal Newborn Online Practice 2019 B with NGN Questions
Extract:
Client who is postpartum
Question 1 of 5
A nurse is preparing to administer oxytocin to a client who is postpartum. Which of the following findings is an indication for the administration of the medication? (Select all that apply.)
Correct Answer: A flaccid uterus and excess vaginal bleeding indicate uterine atony, for which oxytocin is administered to promote uterine contraction and reduce hemorrhage.
Rationale:
Extract:
Client becomes unresponsive upon delivery of the placenta
Question 2 of 5
A nurse is caring for a client who becomes unresponsive upon delivery of the placenta. Which of the following actions should the nurse take first?
Correct Answer: Determining respiratory function is the first step in the ABC (airway, breathing, circulation) assessment, critical for an unresponsive client to address life-threatening issues.
Rationale:
Extract:
Client scheduled for oxytocin induction, Bishop score of 8
Question 3 of 5
A nurse is caring for a client who is scheduled to receive intravenous oxytocin for the induction of labor. The client has a Bishop score of 8. Which of the following findings should the nurse expect?
Correct Answer: A Bishop score of 8 indicates a favorable cervix, increasing the likelihood of successful labor induction with oxytocin.
Rationale:
Extract:
Client at 42 weeks of gestation, 29-year-old, Gravida 2 Para 1, admitted for oxytocin induction
Question 4 of 5
Based on the assessment findings, which of the following actions should the nurse plan to take? Click to specify whether the nurse's planned actions are anticipated, nonessential, or contraindicated.
| Action | Anticipated | Nonessemtial | Contraindicated |
|---|---|---|---|
| Increase the oxytocin infusion to 13 mu/min | |||
| Place client in a side-lying position | |||
| Initiate bolus of primary IV fluids | |||
| Apply oxygen at 10 L/min via venturi mask | |||
| Perform sterile vaginal examination (SVE) | |||
| Assign a Bishop score | |||
| A,B,C,D,G |
Correct Answer: Increasing oxytocin, side-lying position, IV fluid bolus, oxygen, and amniotomy are anticipated for labor induction. SVE and Bishop score are contraindicated or nonessential due to recent cervical assessment.
Rationale:
Extract:
Client at 30 weeks of gestation, routine prenatal visit
Question 5 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: