ATI RN
ATI Maternal Newborn Final Exam moitoso Questions
Extract:
Client at 39 weeks in active labor, SROM 2 hours ago, 7 cm dilated, FHR 145 bpm, moderate variability, absent accelerations, recurrent variable decelerations.
Question 1 of 5
The nurse is caring for a client at 39 weeks gestation in active labor. The client had a spontaneous rupture of membranes 2 hours ago with clear amniotic fluid noted. The client was 7 cm at the time of SROM. The nurse assesses the fetal heart rate monitor and identifies a fetal heart baseline of 145 bpm, with moderate variability, accelerations absent and recurrent variable decelerations. Which of the following interventions should the nurse take?
Correct Answer: A,C,D,E
Rationale: Interventions for recurrent variable decelerations include notifying the provider, repositioning to the left lateral position, performing a vaginal exam for cord prolapse, and providing an IV fluid bolus to improve perfusion.
Extract:
Client who experienced a cesarean birth due to dysfunctional labor, expresses disappointment about not having natural childbirth.
Question 2 of 5
A nurse is caring for a client who experienced a cesarean birth due to dysfunctional labor. The client states that she is disappointed that she did not have natural childbirth. Which of the following responses should the nurse make?
Correct Answer: A
Rationale: Acknowledging the client's feelings validates her emotional experience and supports further discussion, addressing her disappointment empathetically.
Extract:
During preconception counseling regarding teratogen effects in first 8 weeks.
Question 3 of 5
During preconception counseling, the nurse explains that during the first 8 weeks the fetus is most vulnerable to the effects of teratogens. What is occurring during the first 8 weeks of gestation?
Correct Answer: C
Rationale: Organogenesis, the formation of major organs between weeks 3-8, is when the fetus is most vulnerable to teratogens, causing congenital anomalies.
Extract:
Newborn with hyperbilirubinemia treated with phototherapy.
Question 4 of 5
A nurse is caring for a newborn with hyperbilirubinemia and is being treated with phototherapy. For each of the following nursing actions, specify if it is indicated or contraindicated with phototherapy treatment.
Correct Answer: B,D,E,F
Rationale: Indicated: Removing for assessment, maintaining eye mask, repositioning, and reporting sunken fontanels ensure safety and monitor for dehydration. Contraindicated: Lotion can interfere with phototherapy, and feedings every 8 hours are too infrequent.
Extract:
Client at 36 weeks of gestation with preeclampsia, reporting continuous severe abdominal pain and vaginal bleeding.
Question 5 of 5
A nurse in the antepartum unit is caring for a client who is at 36 weeks of gestation and has preeclampsia. Suddenly, the client reports continuous severe abdominal pain and vaginal bleeding. The nurse should suspect which of the following complications?
Correct Answer: B
Rationale: Abruptio placentae is characterized by severe abdominal pain and vaginal bleeding due to premature placental separation, a medical emergency in preeclampsia.