ATI LPN
ATI PN Maternal Newborn Rn X1 Questions
Extract:
client, category II or III fetal heart tracing
Question 1 of 5
Intrauterine resuscitation for an evolving category II or III tracing includes (Select all that apply):
Correct Answer: B,C,D,F
Rationale: B, C, D, F: These actions improve fetal oxygenation and perfusion. A and E are incorrect as they delay care or worsen fetal distress.
Extract:
client, episiotomy pain 8 hours post-delivery
Question 2 of 5
A nurse is caring for a client who has unrelieved episiotomy pain 8 hours following delivery. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Ice packs reduce inflammation and pain in the perineum during the first 24 hours post-delivery.
Extract:
client, 14 hr postpartum, boggy fundus, large lochia rubra
Question 3 of 5
A nurse is collecting data from a client who is 14 hr postpartum. The nurse notes: breasts soft, fundus boggy 4 fingerbreadths above the umbilicus and deviated to the right, large lochia rubra, temperature 37.7°C (100°F), pulse rate 88/min, respiratory rate 18/min. Which of the following actions should the nurse perform?
Correct Answer: A
Rationale: Emptying the bladder corrects uterine displacement, addressing the boggy fundus and excessive lochia.
Extract:
baby, shoulder dystocia, turtle sign
Question 4 of 5
The baby's head is delivered at 0900. The shoulders are not delivered and you notice a turtle sign. Interventions to relieve a dystocia include (Select all that apply):
Correct Answer: A,B,C,D,E
Rationale: A, B, C, D, E: These maneuvers relieve shoulder dystocia by repositioning or reducing shoulder impaction. F is contraindicated as it worsens impaction.
Extract:
client, last menstrual period May 4, Naegele's rule
Question 5 of 5
A nurse in a prenatal clinic is determining a client's estimated date of delivery using Naegele's rule. The first day of her last menstrual period was May 4. Which of the following dates should the nurse tell the client is her estimated date of delivery?
Correct Answer: C
Rationale: Using Naegele’s rule (add 1 year, subtract 3 months, add 7 days), May 4 becomes February 11; adjusting for 40 weeks gestation, February 27 is the closest accurate date.