ATI RN
ATI Custom Maternal Newborn Questions
Extract:
Mother in labor, nonreassuring fetal heart rate pattern, lying on left side
Question 1 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:
Woman post-spinal anesthesia, pounding headache rated 7/10
Question 2 of 5
A woman had spinal anesthesia for delivery. Now she complains of a pounding headache rated 7/10. What action by the nurse is most appropriate?
Correct Answer: B
Rationale: A pounding headache post-spinal anesthesia suggests a spinal headache from cerebrospinal fluid leakage, best treated with a blood patch to seal the dural puncture.
Extract:
Newborn born 10 hours ago via cesarean section, moist lung sounds
Question 3 of 5
A nursing student is helping the nursery nurses with morning vital signs. A baby born 10 hours ago via cesarean section is found to have moist lung sounds. What is the best interpretation of these data?
Correct Answer: C
Rationale: Babies born via cesarean section often have moist lung sounds due to retained fluid, as they miss the chest compression of vaginal delivery, and this typically resolves within 24 hours.
Extract:
Woman in labor, vacuum extraction
Question 4 of 5
A maternal indication for the use of vacuum extraction is
Correct Answer: A
Rationale: Maternal exhaustion indicates vacuum extraction to assist delivery when the mother cannot push effectively, reducing fatigue and distress.
Extract:
Client at 40 weeks gestation, active labor, 6 cm cervical dilation, 100% effacement, blood pressure 82/52 mm Hg
Question 5 of 5
A nurse is caring for a client who is at 40 weeks gestation and is in active labor. The client has 6 cm of cervical dilation and 100% cervical effacement. The nurse obtains the client's blood pressure reading as 82/52 mm Hg. Which of the following nursing interventions should the nurse perform?
Correct Answer: A
Rationale: Assisting the client to turn onto her side can improve blood flow to the placenta and increase fetal oxygenation, addressing hypotension which is a common cause of decreased uteroplacental perfusion.