ATI RN
ATI Maternal Newborn Final Exam moitoso Questions
Extract:
Primigravida asking about placenta function.
Question 1 of 5
A nurse is providing care to a woman who is at 36 weeks of gestation and in preterm labor with ruptured membranes. The nurse determines that the client's oral temperature is 39.0 C (102.2 F). Besides notifying the provider, which of the following is an appropriate nursing action?
Correct Answer: A
Rationale: Administering antipyretics for maternal fever is essential to reduce risks of fetal tachycardia and distress.
Extract:
Client at 39 weeks in active labor, SROM 2 hours ago, 7 cm dilated, FHR 145 bpm, moderate variability, absent accelerations, recurrent variable decelerations.
Question 2 of 5
The nurse is caring for a client at 39 weeks gestation in active labor. The client had a spontaneous rupture of membranes 2 hours ago with clear amniotic fluid noted. The client was 7 cm at the time of SROM. The nurse assesses the fetal heart rate monitor and identifies a fetal heart baseline of 145 bpm, with moderate variability, accelerations absent and recurrent variable decelerations. Which of the following interventions should the nurse take?
Correct Answer: A,C,D,E
Rationale: Interventions for recurrent variable decelerations include notifying the provider, repositioning to the left lateral position, performing a vaginal exam for cord prolapse, and providing an IV fluid bolus to improve perfusion.
Extract:
Nurse hears fetal heart rate dropping, interprets monitor strip.
Question 3 of 5
A nurse is walking by a client's room and can hear the fetal heart rate dropping. The nurse observes the heartbeat and interprets the monitor strip as indicating which of the following?
Correct Answer: B
Rationale: A sudden drop in fetal heart rate suggests variable decelerations, typically caused by umbilical cord compression.
Extract:
Client 5 hours postpartum after vaginal birth, pregnancy complicated by polyhydramnios.
Question 4 of 5
A nurse is caring for a client whose pregnancy was complicated by polyhydramnios and is now 5 hours postpartum following a vaginal birth. The nurse should recognize that this client is at risk for which of the following postpartum complications?
Correct Answer: A
Rationale: Polyhydramnios can overdistend the uterus, increasing the risk of uterine atony and postpartum hemorrhage.
Extract:
Client in fourth stage of labor, BP 144/92, pulse 99, respirations 17, pulse ox 97%, temperature 100.4 F, pain score 1/10.
Question 5 of 5
A nurse is caring for a client in the fourth stage of labor after a vaginal delivery. History and Physical: BP: 144/92 mmHg. Pulse: 99 bpm. Respirations: 17/min. Pulse Ox: 97%. Temperature: 100.4 F (38.0 C). Pain score: 1/10. The nurse should first address the client's ____________ (assessment finding), followed by the client's ____________ (assessment finding).
Correct Answer: A
Rationale: Elevated BP (144/92 mmHg) is a priority due to potential preeclampsia, followed by temperature (100.4°F) indicating possible infection.