ATI RN
ATI RN Maternal Newborn Online Practice 2019 B with NGN Questions
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 1 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:
Client at end of first trimester
Question 2 of 5
A nurse is caring for a client who is pregnant and is at the end of her first trimester. The nurse should place the Doppler ultrasound stethoscope in which of the following locations to begin assessing for the fetal heart tones (FHT)?
Correct Answer: At the end of the first trimester, the uterus is low in the pelvis, so fetal heart tones are best detected just above the symphysis pubis.
Rationale:
Extract:
Client in labor, fetus in right occiput posterior position, dilated to 8 cm, reports back pain
Question 3 of 5
A nurse is caring for a client who is in labor and whose fetus is in the right occiput posterior position. The client is dilated to 8 cm and reports back pain. Which of the following actions should the nurse take?
Correct Answer: Applying sacral counterpressure relieves back pain caused by the fetus's occiput posterior position, which presses against the sacrum during contractions.
Rationale:
Extract:
Client with a new prescription for a diaphragm
Question 4 of 5
A nurse is providing teaching about family planning to a client who has a new prescription for a diaphragm. Which of the following statements should the nurse include in the teaching?
Correct Answer: Leaving the diaphragm in place for at least 6 hours after intercourse ensures its effectiveness in preventing pregnancy by blocking sperm from reaching the cervix.
Rationale:
Extract:
Newborn of a client who took a selective serotonin reuptake inhibitor (SSRI) during pregnancy
Question 5 of 5
A nurse is assessing the newborn of a client who took a selective serotonin reuptake inhibitor (SSRI) during pregnancy. Which of the following manifestations should the nurse identify as an indication of withdrawal from an SSRI?
Correct Answer: Vomiting is a common gastrointestinal symptom of SSRI withdrawal in newborns, indicating the need for monitoring and potential intervention.
Rationale: