ATI RN
ATI RN Maternal Newborn Online Practice 2019 B with NGN Questions
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 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: Positioning with one hip elevated addresses low blood pressure, likely due to aortocaval compression, improving uteroplacental perfusion and maternal stability.
Rationale:
Extract:
Newborn who is 4 hr old
Question 2 of 5
A nurse is reviewing laboratory results of a newborn who is 4 hr old. Which of the following findings should the nurse report to the provider?
Correct Answer: A bilirubin level of 9 mg/dL at 4 hours old is elevated, indicating potential jaundice, which requires reporting to prevent complications like kernicterus.
Rationale:
Extract:
Client in labor, umbilical cord protruding from the vagina
Question 3 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 first stage of labor
Question 4 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 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 5 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: