ATI RN
RN ATI Maternal Newborn 2023 with NGN Questions
Extract:
Question 1 of 5
A nurse is teaching a client who is at 37 weeks of gestation and has a prescription for a nonstress test. Which of the following instructions should the nurse include?
Correct Answer: D
Rationale: The correct answer is D: You should press the handheld button when you feel your baby move.
Rationale:
1. Nonstress test monitors fetal heart rate in response to fetal movement.
2. Pressing the handheld button when feeling baby move allows correlation of fetal heart rate changes with movements.
3. This action helps assess the well-being of the fetus and indicates a reactive nonstress test.
4. It is essential for the nurse to educate the client on this key step for accurate test results.
Summary:
A: Incorrect. The test duration is not related to this specific instruction.
B: Incorrect. Lying in a supine position may affect blood flow and should be avoided.
C: Incorrect. Fasting is not necessary for a nonstress test.
Question 2 of 5
A nurse in a family planning clinic is caring for a client who requests an oral contraceptive. Which of the following findings in the client's history should the nurse recognize as a contraindication to oral contraceptives? (Select all that apply.)
Correct Answer: A, B, D
Rationale: The correct answer is A, B, D. Cholecystitis is a contraindication due to an increased risk of gallbladder disease with oral contraceptive use. Hypertension is a contraindication because estrogen in oral contraceptives can exacerbate hypertension. Migraine headaches with aura are a contraindication due to an increased risk of stroke. Human papillomavirus and anxiety disorder are not contraindications for oral contraceptives.
Question 3 of 5
A nurse is planning care for a client who is in labor and is requesting epidural anesthesia for pain control. Which of the following actions should the nurse include in the plan of care?
Correct Answer: C
Rationale: The correct answer is C: Monitor the client's blood pressure every 5 min following the first dose of anesthetic solution. This is crucial to assess for any potential hypotension, a common side effect of epidural anesthesia. Close monitoring allows for prompt intervention if hypotension occurs, ensuring the client's safety.
Choice A is incorrect because placing the client in a supine position following epidural anesthesia can lead to hypotension.
Choice B is incorrect as administering dextrose solution is not necessary for epidural anesthesia.
Choice D is incorrect as NPO status is not required for epidural anesthesia administration.
Question 4 of 5
A nurse is planning care for a client who is to undergo a nonstress test. Which of the following actions should the nurse include in the plan of care?
Correct Answer: D
Rationale: The correct answer is D: Instruct the client to press the provided button each time fetal movement is detected. This action is crucial during a nonstress test as it helps monitor fetal heart rate in response to movement, indicating a healthy fetal status. Pressing the button when fetal movement is felt ensures accurate data collection. Maintaining NPO status (
A) is not required for a nonstress test. Placing the client in a supine position (
B) can reduce blood flow to the fetus and is contraindicated. Instructing the client to massage the abdomen (
C) may interfere with the natural fetal movement patterns and affect test results.
Question 5 of 5
A nurse is assessing a client who is in active labor. Which of the following findings should the nurse report to the provider?
Correct Answer: D
Rationale: The correct answer is D: PHR baseline 170/min. A baseline fetal heart rate (FHR) of 170/min is high and may indicate fetal distress or other complications. The nurse should report this finding to the provider for further evaluation and intervention. Contractions lasting 80 seconds (choice
A) are within the normal range for active labor. Early decelerations in the FHR (choice
B) are also normal and not concerning. A temperature of 37.4° C (99.3° F) (choice
C) is slightly elevated but not a critical finding in active labor.
Therefore, the nurse should focus on the abnormal FHR baseline of 170/min and report it promptly for appropriate management.