ATI RN
ATI RN Maternal Newborn Online Practice 2019 B with NGN Questions
Extract:
Postpartum client
Question 1 of 5
A nurse is teaching a postpartum client about steps the nurses will take to promote the security and safety of the client's newborn. Which of the following statements should the nurse make?
Correct Answer: Staff wearing photo identification badges ensures only authorized personnel handle the newborn, enhancing security and reassuring the client.
Rationale:
Extract:
Client in preterm labor, receiving terbutaline
Question 2 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 at 41 weeks of gestation with a positive contraction stress test
Question 3 of 5
A nurse is caring for a client who is at 41 weeks of gestation and has a positive contraction stress test. For which of the following diagnostic tests should the nurse prepare the client?
Correct Answer: A biophysical profile assesses fetal well-being after a positive contraction stress test, evaluating parameters like heart rate and amniotic fluid volume to guide delivery decisions.
Rationale:
Extract:
Client in labor, contractions 1 min duration, 3 min frequency, fetal heart rate 130/min, maternal heart rate 128/min, blood pressure 92/54 mm Hg
Question 4 of 5
A nurse on a labor unit is admitting a client who reports painful contractions. The nurse determines that the contractions have a duration of 1 min and a frequency of 3 min. The nurse obtains the following vital signs: fetal heart rate 130/min, maternal heart rate 128/min and maternal blood pressure 92/54 mm Hg. Which of the following is the priority action for the nurse to take?
Correct Answer: Positioning with one hip elevated addresses low blood pressure, likely due to aortocaval compression, improving uteroplacental perfusion and maternal stability.
Rationale:
Extract:
Client requesting an oral contraceptive
Question 5 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: Cholecystitis, hypertension, and migraine headaches are contraindications due to increased risks of gallstones, cardiovascular events, and stroke, respectively. HPV and anxiety are not contraindications.
Rationale: