ATI LPN
ATI LPN n105t Maternal Newborn Exam Questions
Extract:
A client who is at 39 weeks of gestation
Question 1 of 5
A nurse is reinforcing teaching about signs preceding the onset of labor with a client who is at 39 weeks of gestation. Which of the following statements should the nurse include?
Correct Answer: C
Rationale: A surge of energy, often called the 'nesting instinct,' is a common sign preceding labor as the body prepares for delivery.
Extract:
A woman 2 weeks past her expected delivery date is receiving an oxytocin infusion to induce labor and begins to have contractions every 90 seconds
Question 2 of 5
A woman 2 weeks past her expected delivery date is receiving an oxytocin infusion to induce labor and begins to have contractions every 90 seconds. What is the nurse's initial action?
Correct Answer: A
Rationale: Oxytocin should be stopped immediately to prevent hyperstimulation of the uterus, which can lead to fetal distress or uterine rupture.
Extract:
A client who is in labor. The doctor documents the vaginal examination as: 3 cm, 30%, and -1.
Question 3 of 5
A nurse is assisting in the care of a client who is in labor. The nurse evaluates this documentation to mean which of the following?
Correct Answer: D
Rationale: The cervix is dilated 3 cm, it is effaced 30%, and the presenting part is 1 cm below the ischial spines: This interpretation is accurate, matching the documented findings.
Extract:
A client who is in active labor
Question 4 of 5
A nurse is assisting in the care of a client who is in active labor. The nurse notes variable decelerations of the FHR. The nurse should identify which of the following as a cause of variable decelerations?
Correct Answer: D
Rationale: Variable decelerations are due to compression of the umbilical cord, which affects fetal oxygenation.
Extract:
A woman in the transition phase of labor
Question 5 of 5
A woman in the transition phase of labor requests a narcotic analgesic medication for pain relief. What should the nurse explain regarding giving a narcotic analgesic medication at this stage of labor?
Correct Answer: C
Rationale: Narcotics given close to delivery can depress the newborn's respiratory efforts.