ATI RN
ATI RN Maternal Newborn Online Practice 2019 B with NGN Questions
Extract:
Client at 42 weeks of gestation, 29-year-old, Gravida 2 Para 1, admitted for oxytocin induction
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,G |
Correct Answer: Increasing oxytocin, side-lying position, IV fluid bolus, oxygen, and amniotomy are anticipated for labor induction. SVE and Bishop score are contraindicated or nonessential due to recent cervical assessment.
Rationale:
Extract:
Newborn who is 4 hr old
Question 2 of 5
A nurse is reviewing laboratory results of a newborn who is 4 hr old. Which of the following findings should the nurse report to the provider?
Correct Answer: A bilirubin level of 9 mg/dL at 4 hours old is elevated, indicating potential jaundice, which requires reporting to prevent complications like kernicterus.
Rationale:
Extract:
Newborn assessed for hypoglycemia
Question 3 of 5
A nurse is assessing a newborn for manifestations of hypoglycemia. Which of the following findings should the nurse expect?
Correct Answer: Jitteriness is a common sign of hypoglycemia in newborns, reflecting neurological response to low blood glucose levels.
Rationale:
Extract:
Client in labor with contractions 4 min apart
Question 4 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 prolonged labor with severe backache
Question 5 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: