ATI RN
ATI RN Maternal Newborn Online Practice 2019 B with NGN Questions
Extract:
Client in labor with contractions 4 min apart
Question 1 of 5
A nurse receives report about a client who is in labor and is having contractions 4 min apart. Which of the following patterns should the nurse expect on the fetal monitoring tracing?
Correct Answer: Contractions every 4 minutes typically last 60 seconds with a 3-minute rest, consistent with active labor patterns on fetal monitoring.
Rationale:
Extract:
Client in first stage of labor
Question 2 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, receiving oxytocin for induction, contractions every 2 min, lasting 90 sec, strong, fetal heart rate 150/min with uniform decelerations
Question 3 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 min, last 90 sec, and are strong to palpation. The baseline fetal heart rate is 150/min, with uniform decelerations beginning at 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: Uniform decelerations (late decelerations) with frequent, strong, prolonged contractions suggest uterine hyperstimulation from oxytocin, requiring discontinuation to prevent fetal distress.
Rationale:
Extract:
Postpartum client
Question 4 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:
Extract:
Client on postpartum unit, experiencing hypovolemic shock
Question 5 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: