ATI RN
ATI Capstone Week 11 Exam Questions
Extract:
Question 1 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: D
Rationale: The correct answer is D: Place the client in a lateral position. This is the priority action because the client's low blood pressure (92/54 mm Hg) indicates hypotension, which could be causing decreased perfusion to the fetus. Placing the client in a lateral position can help improve blood flow to the placenta and fetus. This position can also help alleviate pressure on the vena cava, improving maternal cardiac output.
Choice A (Have the client void) is not the priority action in this case as the client's vital signs indicate a more urgent concern related to hypotension and fetal well-being.
Choice B (Ask the client if she needs pain medication) is not the priority as addressing pain relief is important but not as urgent as addressing potential hypotension.
Choice C (Notify the provider of the findings) may be necessary but is not the immediate priority.
In summary, placing the client in a lateral position is the priority action to address hypotension
Question 2 of 5
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Question 3 of 5
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Question 4 of 5
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Question 5 of 5
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