ATI RN
ATI Custom Maternal Newborn Questions
Extract:
During vaginal delivery, newborn's head emerges
Question 1 of 5
During a vaginal delivery, the first thing a nurse must ensure when the head comes out is that the midwife or doctor checks that
Correct Answer: C
Rationale: Checking for a nuchal cord (cord around the neck) is critical to prevent compression, which could reduce blood flow and oxygen to the baby.
Extract:
Mother in labor, nonreassuring fetal heart rate pattern, lying on left side
Question 2 of 5
The nurse notes a nonreassuring pattern of the fetal heart rate. The mother is already lying on her left side. What nursing action is indicated?
Correct Answer: B
Rationale: Placing a wedge under the left hip is a common intervention to improve uteroplacental blood flow by tilting the uterus off the vena cava, enhancing venous return and cardiac output, which can positively affect fetal oxygenation.
Extract:
Student nurse learning about milk production
Question 3 of 5
The student nurse learns that the hormone necessary for milk production is
Correct Answer: B
Rationale: Prolactin, secreted by the pituitary gland, is responsible for milk production, especially after delivery when estrogen and progesterone levels drop.
Extract:
Primigravida client at term, having contractions, unsure if in labor
Question 4 of 5
A nurse is caring for a client who is a primigravida, at term, and having contractions but is stating that she is 'not really sure if she is in labor or not.' Which of the following should the nurse recognize as a sign of true labor?
Correct Answer: C
Rationale: Changes in the cervix, such as effacement and dilation, are the most accurate indicators of true labor, caused by contractions and fetal pressure.
Extract:
Client in active labor, 7 cm cervical dilation, 100% effacement, fetus at 1+ station, amniotic membranes intact, sudden urge to push
Question 5 of 5
A nurse is caring for a client who is in active labor with 7 cm of cervical dilation and 100% effacement. The fetus is at 1+ station, and the client's amniotic membranes are intact. The client suddenly states that she needs to push. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Encouraging the client to pant during contractions helps reduce the urge to push when not fully dilated, preventing complications like cervical swelling or tearing.