Questions 48

ATI RN

ATI RN Test Bank

ATI Custom Maternal Newborn Questions

Extract:

Newborn born 10 hours ago via cesarean section, moist lung sounds


Question 1 of 5

A nursing student is helping the nursery nurses with morning vital signs. A baby born 10 hours ago via cesarean section is found to have moist lung sounds. What is the best interpretation of these data?

Correct Answer: C

Rationale: Babies born via cesarean section often have moist lung sounds due to retained fluid, as they miss the chest compression of vaginal delivery, and this typically resolves within 24 hours.

Extract:

Client in latent phase of labor for 12 hours, requesting medication to rest


Question 2 of 5

A client in latent phase of labor for the past 12 hours is requesting medication to help her rest.

Correct Answer: A

Rationale: Fentanyl is a fast-acting opioid suitable for pain relief and sedation in labor, with less risk of prolonged effects compared to other options.

Extract:

Client at 40 weeks gestation, active labor, 6 cm cervical dilation, 100% effacement, blood pressure 82/52 mm Hg


Question 3 of 5

A nurse is caring for a client who is at 40 weeks gestation and is in active labor. The client has 6 cm of cervical dilation and 100% cervical effacement. The nurse obtains the client's blood pressure reading as 82/52 mm Hg. Which of the following nursing interventions should the nurse perform?

Correct Answer: A

Rationale: Assisting the client to turn onto her side can improve blood flow to the placenta and increase fetal oxygenation, addressing hypotension which is a common cause of decreased uteroplacental perfusion.

Extract:

New mother, postpartum period


Question 4 of 5

Choose the sign or symptom that a new mother should be taught to report:

Correct Answer: C

Rationale: Reappearance of red lochia after it becomes serous may indicate uterine atony or retained placental fragments, requiring immediate reporting.

Extract:

Woman received epidural or intrathecal opioids


Question 5 of 5

The main nursing observations of the woman who receives epidural or intrathecal opioids are for all except

Correct Answer: A

Rationale: Delayed respiratory depression is not a primary concern with epidural or intrathecal opioids, which have limited systemic effects compared to systemic opioids.

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