ATI RN
ATI RN Maternal Newborn Online Practice 2019 B with NGN Questions
Extract:
Client on postpartum unit, experiencing hypovolemic shock
Question 1 of 5
A nurse on a postpartum unit is caring for a client who is experiencing hypovolemic shock. After notifying the provider, which of the following actions should the nurse take next?
Correct Answer: Massaging the fundus promotes uterine contraction, addressing uterine atony, a common cause of postpartum hemorrhage leading to hypovolemic shock.
Rationale:
Extract:
Client at 24 weeks of gestation, preparing for a 1-hr glucose tolerance test
Question 2 of 5
A nurse is teaching a client who is at 24 weeks of gestation regarding a 1-hr glucose tolerance test. Which of the following statements should the nurse include in the teaching?
Correct Answer: A blood glucose level of 130 to 140 mg/dL is considered a positive screening result for the 1-hour glucose tolerance test, indicating the need for further testing to diagnose gestational diabetes.
Rationale:
Extract:
Client at 42 weeks of gestation, induction of labor, fetal heart rate 140 to 145/min, moderate variability, rare contractions, oxytocin at 11 mu/min
Question 3 of 5
Based on the assessment findings, which of the following actions should the nurse plan to take? Click to specify whether the nurse's planned actions are anticipated, nonessential, or contraindicated.
| Action | Anticipated | Nonessemtial | Contraindicated |
|---|---|---|---|
| Increase the oxytocin infusion to 13 mu/min | |||
| Place client in a side-lying position | |||
| Initiate bolus of primary IV fluids | |||
| Apply oxygen at 10 L/min via venturi mask | |||
| Perform sterile vaginal examination (SVE) | |||
| Assign a Bishop score | |||
| A,B,C,D |
Correct Answer: Increasing oxytocin, side-lying position, IV fluid bolus, and oxygen are anticipated to support labor progress and fetal oxygenation. SVE and Bishop score are nonessential as recent cervical assessment was done.
Rationale:
Extract:
Adolescent requesting levonorgestrel contraception
Question 4 of 5
A school nurse is providing teaching to an adolescent about levonorgestrel contraception. Which of the following information should the nurse include in the teaching?
Correct Answer: Levonorgestrel is most effective when taken within 72 hours after unprotected intercourse, making this the key teaching point for emergency contraception.
Rationale:
Extract:
Client in active labor, 7 cm cervical dilation, 100% effacement, fetus at 1+ station, amniotic membranes intact, sudden urge to push
Question 5 of 5
A nurse is caring for a client who is in active labor with 7 cm of cervical dilation and 100% effacement. The fetus is at 1+ station, and the client's amniotic membranes are intact. The client suddenly states that she needs to push. Which of the following actions should the nurse take?
Correct Answer: Having the client pant during contractions prevents premature pushing at 7 cm dilation, reducing the risk of cervical trauma or rapid fetal descent.
Rationale: