ATI RN
ATI Maternal Newborn Final Exam moitoso Questions
Extract:
Client in labor at 39 weeks with oxytocin induction, uterine contractions every 2 minutes lasting 90 seconds, strong, FHR baseline 150/min with uniform decelerations at contraction peak.
Question 1 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 minutes, last 90 seconds each, and are strong to palpation. The baseline fetal heart rate is 150/min, with uniform decelerations beginning at the peak of the contraction, nadir after 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: C
Rationale: Discontinuing oxytocin is necessary due to tachysystole and fetal heart rate decelerations, reducing uterine hyperstimulation and improving fetal oxygenation.
Extract:
A client with irregular uterine contractions that are mild to palpation, FHR 130/min with moderate variability and accelerations, ambulating, took a warm shower, resting in bed, rates pain of contractions at 3/10.
Question 2 of 5
A nurse is caring for a client with irregular uterine contractions that are mild to palpation. FHR is 130/min with moderate variability and accelerations noted. The client has been ambulating in the hallway, took a warm shower, and is now resting in bed. The client rates pain of contractions at 3 on a 0 to 10 scale. What potential condition does the nurse suspect?
Correct Answer: B
Rationale: Dysfunctional labor is characterized by irregular uterine contractions that are mild, as described, and can be managed with ambulation, showers, and rest, fitting the client's symptoms.
Extract:
Client on electronic fetal monitor experiencing tachysystole.
Question 3 of 5
A nurse is caring for a client who is on the electronic fetal monitor and the nurse notices that the client is experiencing tachysystole. Which of the following describes tachysystole?
Correct Answer: C
Rationale: Tachysystole is defined as more than five contractions in 10 minutes, which can reduce fetal blood flow and cause distress.
Extract:
Client at 36 weeks of gestation with preeclampsia, reporting continuous severe abdominal pain and vaginal bleeding.
Question 4 of 5
A nurse in the antepartum unit is caring for a client who is at 36 weeks of gestation and has preeclampsia. Suddenly, the client reports continuous severe abdominal pain and vaginal bleeding. The nurse should suspect which of the following complications?
Correct Answer: B
Rationale: Abruptio placentae is characterized by severe abdominal pain and vaginal bleeding due to premature placental separation, a medical emergency in preeclampsia.
Extract:
Nurse screening for postpartum depression (PPD).
Question 5 of 5
The nurse working in a clinic often screens her patients for postpartum depression (PPD). Identify the differences between postpartum depression and postpartum blues.
| Observation | Postpartum Depression | Postpartum Blues |
|---|---|---|
| Major differences occur within the first two weeks postpartum | ||
| Symptoms disappear without medical intervention | ||
| Unable to safely care for self and/or baby | ||
| May require antidepressants | ||
| Occurs within the first 12 months postpartum |
Correct Answer: A,B,C,D,E
Rationale: Postpartum blues resolve within two weeks and require no intervention, while PPD can persist up to 12 months, impair self/baby care, and may need antidepressants.