ATI RN
ATI Capstone Maternal Newborn Questions
Extract:
Client using an intrauterine device (IUD) for contraception.
Question 1 of 5
A nurse is teaching a client about using an intrauterine device (IUD) for contraception. Which of the following client statements indicates an understanding of the teaching?
Correct Answer: D
Rationale: Checking for the string ensures proper IUD positioning and functionality. This monthly practice helps detect dislodgement or expulsion, which can compromise contraceptive effectiveness.
Extract:
Client in labor with an intrauterine pressure catheter and an internal fetal scalp electrode for monitoring, receiving oxytocin.
Question 2 of 5
A nurse is caring for a client who is receiving oxytocin to augment labor. The client has an intrauterine pressure catheter and an internal fetal scalp electrode for monitoring. Which of the following is an indication that the nurse should discontinue the infusion?
Correct Answer: B
Rationale: Contraction duration of 100 seconds exceeds the normal range (usually less than 90 seconds), risking uterine hyperstimulation and fetal compromise, necessitating oxytocin discontinuation.
Extract:
Client receiving oxytocin to augment labor, nurse notes recurrent variable decelerations of the FHR.
Question 3 of 5
A nurse is caring for a client who is receiving oxytocin to augment labor. The nurse notes recurrent variable decelerations of the FHR. Which of the following actions should the nurse take first?
Correct Answer: C
Rationale: Discontinuing oxytocin reduces uterine contractions, alleviating cord compression and improving fetal oxygenation, which is the first step in managing recurrent variable decelerations of fetal heart rate.
Extract:
Client reports intermittent dark brown vaginal discharge for the past three days.
Question 4 of 5
A client reports an intermittent dark brown vaginal discharge for the past three days. What should the nurse do?
Correct Answer: A
Rationale: Molar pregnancy often manifests as intermittent dark brown vaginal discharge due to trophoblastic tissue expulsion. It warrants assessment as it correlates with hCG elevation and abnormal placental development.
Extract:
Client gave birth 4 hr ago and is experiencing excessive vaginal bleeding.
Question 5 of 5
A nurse is caring for a client who gave birth 4 hr ago and is experiencing excessive vaginal bleeding. Which of the following actions should the nurse plan to take first?
Correct Answer: C
Rationale: Massaging the fundus promotes uterine contraction, which is the first-line intervention to control postpartum hemorrhage caused by uterine atony.