ATI RN
ATI RN Maternal Newborn Online Practice 2019 B with NGN Questions
Extract:
Client in preterm labor, receiving terbutaline
Question 1 of 5
A nurse is teaching a client who is in preterm labor about terbutaline. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: Terbutaline can cause hypokalemia, and monitoring potassium levels via blood tests is necessary, indicating the client's understanding of the medication's side effects.
Rationale:
Extract:
Client in labor with external fetal monitor, late decelerations observed
Question 2 of 5
A nurse is caring for a client who is in labor and has an external fetal monitor. The nurse observes late decelerations on the monitor strip and interprets them as indicating which of the following?
Correct Answer: Late decelerations indicate uteroplacental insufficiency, where reduced blood flow to the fetus during contractions causes a drop in fetal heart rate, requiring intervention.
Rationale:
Extract:
Client in first stage of labor
Question 3 of 5
A nurse is caring for a client who is in the first stage of labor. Which of the following findings should the nurse identify as a cause for concern?
Correct Answer: Contractions lasting 100 seconds are excessively long, potentially causing fetal distress due to prolonged reduced uteroplacental perfusion, requiring immediate attention.
Rationale:
Extract:
Client at 32 weeks of gestation
Question 4 of 5
A nurse is reviewing the medical record of a newly admitted client who is at 32 weeks of gestation. Which of the following conditions is an indication for fetal assessment using electronic fetal monitoring?
Correct Answer: Oligohydramnios, low amniotic fluid, risks fetal growth restriction, necessitating electronic fetal monitoring to assess fetal well-being.
Rationale:
Extract:
Client at 29 weeks of gestation, receiving betamethasone
Question 5 of 5
A nurse is caring for a client who is experiencing preterm labor at 29 weeks of gestation and has a prescription for betamethasone. Which of the following statements should the nurse make about the indication for medication administration?
Correct Answer: Betamethasone enhances fetal lung surfactant production, improving respiratory outcomes in preterm infants, which is the primary indication.
Rationale: