ATI RN
ATI RN Maternal Newborn Online Practice 2019 B with NGN Questions
Extract:
Client in prolonged labor with severe backache
Question 1 of 5
A nurse on the labor and delivery unit is caring for a client who is having a difficult, prolonged labor with severe backache. Which of the following contributing causes should the nurse identify?
Correct Answer: Persistent occiput posterior position causes prolonged labor and severe backache due to the fetal head pressing against the maternal sacrum.
Rationale:
Extract:
Client at 32 weeks of gestation
Question 2 of 5
A nurse is reviewing the medical record of a newly admitted client who is at 32 weeks of gestation. Which of the following conditions is an indication for fetal assessment using electronic fetal monitoring?
Correct Answer: Oligohydramnios, low amniotic fluid, risks fetal growth restriction, necessitating electronic fetal monitoring to assess fetal well-being.
Rationale:
Extract:
Client in labor, requesting epidural anesthesia
Question 3 of 5
A nurse is planning care for a client who is in labor and is requesting epidural anesthesia for pain control. Which of the following actions should the nurse include in the plan of care?
Correct Answer: Monitoring blood pressure every minute after the first epidural dose is critical to detect hypotension, a common side effect, ensuring timely intervention to protect maternal and fetal well-being.
Rationale:
Extract:
Newborn who is 24 hr old
Question 4 of 5
A nurse is reviewing the laboratory report of a newborn who is 24 hr old. Which of the following results should the nurse report to the provider?
Correct Answer: A blood glucose level of 30 mg/dL is significantly low, indicating hypoglycemia, which requires immediate reporting to prevent neurologic complications in the newborn.
Rationale:
Extract:
Postpartum client
Question 5 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: