ATI RN
ATI OB Maternal Newborn Nurs 4650 Questions
Extract:
Client who is postpartum with a new prescription for Rh(D) immunoglobulin
Question 1 of 5
A nurse is teaching a client who is postpartum and has a new prescription for an injection of Rh(D) immunoglobulin. Which one of the following should be included in the teaching?
Correct Answer: D
Rationale: Rh(
D) immunoglobulin prevents Rh-negative mothers from forming antibodies against Rh-positive fetal blood, protecting future pregnancies.
Extract:
Client undergoing an amniotomy
Question 2 of 5
A nurse is caring for a client who is to undergo an amniotomy. Which of the following is the priority nursing action following this procedure?
Correct Answer: D
Rationale: Assessing fetal heart rate post-amniotomy detects complications like cord prolapse, ensuring fetal well-being.
Extract:
Client in the first stage of labor with prolapsed umbilical cord
Question 3 of 5
A nurse is caring for a client who is in the first stage of labor. The nurse observes the umbilical cord. Which of the following actions should the nurse perform first?
Correct Answer: A
Rationale: The knee-chest position relieves pressure on a prolapsed cord, preventing fetal hypoxia as the first priority.
Extract:
Client in premature labor receiving terbutaline
Question 4 of 5
A nurse is caring for a client who is in premature labor and is receiving terbutaline. The nurse should monitor the client for which of the following adverse effects that should be reported to the provider?
Correct Answer: B
Rationale: Dyspnea may indicate pulmonary edema, a serious terbutaline side effect requiring immediate reporting.
Extract:
Client receiving opioid epidural analgesia during labor
Question 5 of 5
A nurse is caring for a client who is receiving opioid epidural analgesia during labor. Which one of the following findings is the nurse's priority?
Correct Answer: A
Rationale: Hypotension from epidural analgesia can compromise maternal and fetal circulation, making it the priority finding.