ATI LPN
ATI LPN n105t Maternal Newborn Exam Questions
Extract:
A client who is scheduled for a nonstress test
Question 1 of 5
A nurse is reinforcing teaching with a client who is scheduled for a nonstress test. Which of the following information should the nurse include?
Correct Answer: A
Rationale: Nonstress tests (NST) monitor the fetal heart rate (FHR) in response to fetal movements using external monitors.
Extract:
A client who had an epidural anesthesia block during the early stages of labor. The client's blood pressure is 80/40 mm Hg and the fetal heart recording is 140/min.
Question 2 of 5
A nurse is assisting with the care of a client who had an epidural anesthesia block during the early stages of labor. The client's blood pressure is 80/40 mm Hg and the fetal heart recording is 140/min. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: Place the client in a lateral position: This improves uteroplacental perfusion and venous return, addressing hypotension.
Extract:
A client who is multigravida and in active labor with 7 cm of cervical dilation and 100% effacement. The fetus is at 1+ station, and the client's amniotic membranes are intact. The client suddenly states that she needs to push.
Question 3 of 5
A nurse is assisting with the care of a client who is multigravida and in active labor with 7 cm of cervical dilation and 100% effacement. The fetus is at 1+ station, and the client's amniotic membranes are intact. The client suddenly states that she needs to push. Which of the following is the appropriate nursing response?
Correct Answer: D
Rationale: Panting helps the patient avoid pushing before full dilation is achieved, reducing the risk of complications such as cervical lacerations or fetal distress.
Extract:
A client who is reporting severe pain during labor and is no longer wanting to follow their natural birth plan.
Question 4 of 5
A nurse is caring for a client who is reporting severe pain during labor and is no longer wanting to follow their natural birth plan. Which of the following interventions should the nurse recognize as being supportive and appropriate for the partner at the bedside to take? Select all that Apply.
Correct Answer: A,B,D,E
Rationale: A: Promotes relaxation and distraction from pain. B: Encourages proper oxygenation and pain management. D: Relieves tension and provides comfort. E: Assists with distraction and relaxation during contractions.
Extract:
An 18-year-old primigravida is 4 cm dilated and her contractions are 5 minutes apart. She received little prenatal care and had no childbirth preparation. She is crying loudly and shouting 'Please give me something for the pain. I can't take the pain.'
Question 5 of 5
An 18-year-old primigravida is 4 cm dilated and her contractions are 5 minutes apart. She received little prenatal care and had no childbirth preparation. She is crying loudly and shouting 'Please give me something for the pain. I can't take the pain.' What is the priority nursing diagnosis?
Correct Answer: A
Rationale: This addresses the client's inability to manage labor effectively due to a lack of childbirth preparation, as evidenced by her emotional distress.