ATI RN
ATI RN Maternal Newborn Online Practice 2019 B with NGN Questions
Extract:
New parent learning about newborn safety
Question 1 of 5
A nurse is teaching a new parent about newborn safety. Which of the following instructions should the nurse include in the teaching?
Correct Answer: Checking bath water temperature with the hand prevents burns, ensuring newborn safety, unlike unsafe practices like blankets or car seat napping.
Rationale:
Extract:
Client in labor, umbilical cord protruding from the vagina
Question 2 of 5
A nurse is performing a vaginal examination on a client who is in labor and observes the umbilical cord protruding from the vagina. Which of the following actions should the nurse take first?
Correct Answer: Applying internal upward pressure with two gloved fingers relieves cord compression, restoring fetal blood flow and preventing hypoxia, making it the priority action for umbilical cord prolapse.
Rationale:
Extract:
Client in labor, receiving oxytocin for induction, contractions every 2 min, lasting 90 sec, strong, fetal heart rate 150/min with uniform decelerations
Question 3 of 5
A nurse on the labor and delivery unit is caring for a patient who is having induction of labor with oxytocin administered through a secondary IV line. Uterine contractions occur every 2 min, last 90 sec, and are strong to palpation. The baseline fetal heart rate is 150/min, with uniform decelerations beginning at the peak of the contraction and a return to baseline after the contraction is over. Which of the following actions should the nurse take?
Correct Answer: Uniform decelerations (late decelerations) with frequent, strong, prolonged contractions suggest uterine hyperstimulation from oxytocin, requiring discontinuation to prevent fetal distress.
Rationale:
Extract:
Client in labor, requesting epidural anesthesia
Question 4 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: Monitoring blood pressure every minute after the first epidural dose is critical to detect hypotension, a common side effect, ensuring timely intervention to protect maternal and fetal well-being.
Rationale:
Extract:
Client in active labor with meconium staining of amniotic fluid, reassuring fetal heart rate
Question 5 of 5
A nurse is caring for a client in active labor who has meconium staining of the amniotic fluid. The nurse notes a reassuring fetal heart rate (FHR) tracing from the external fetal monitor. Which of the following actions should the nurse perform?
Correct Answer: Preparing resuscitation equipment is prudent due to the risk of meconium aspiration syndrome, even with a reassuring FHR, ensuring readiness for potential newborn distress.
Rationale: