ATI LPN
ATI LPN n105t Maternal Newborn Exam Questions
Extract:
Question 1 of 5
A nurse is teaching a childbirth preparation class. The group is discussing individual expressions of labor pain. What statement is accurate about a patient's expression of pain?
Correct Answer: D
Rationale: Cultural factors significantly shape how individuals express and perceive pain.
Extract:
A client who is in labor
Question 2 of 5
A nurse is reinforcing teaching with a client who is in labor about why epidural anesthesia is not initiated until a good labor pattern has been established. Which of the following explanations should the nurse include?
Correct Answer: B
Rationale: Administering an epidural too early can reduce the effectiveness of contractions and delay cervical dilation.
Extract:
A client who is in active labor
Question 3 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 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 4 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 a primigravida at 42 weeks of gestation and states that she thinks she is in labor
Question 5 of 5
A nurse is assisting a nurse midwife in examining a client who is a primigravida at 42 weeks of gestation and states that she thinks she is in labor. Which of the following findings confirm that the client is in labor?
Correct Answer: D
Rationale: Cervical dilation is the definitive sign of labor as it indicates the cervix is opening to allow delivery.