ATI LPN
ATI PN Maternal Newborn 2023 II Questions
Extract:
A nurse is assisting in the care of a client who is in labor and requires intermittent fetal monitoring.
Question 1 of 5
Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Performing Leopold maneuvers to determine fetal position is crucial as it helps in placing the Doppler in the correct position for accurate monitoring of fetal heart tones.
Extract:
A nurse is assisting with a pelvic examination of a client during their first prenatal visit.
Question 2 of 5
Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Instructing the client to bear down when the speculum is inserted is correct. Bearing down helps relax the pelvic muscles, making it easier to insert the speculum and perform the examination with minimal discomfort.
Extract:
A nurse is caring for a client who is postpartum and has an episiotomy.
Question 3 of 5
Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Alternating warm and ice packs to the site every 2 hours for the first 24 hours postpartum is correct. This method helps manage pain and swelling effectively, promoting healing and comfort for the client.
Extract:
A nurse is assisting with the care of a client who is in active labor. The fetal monitor tracing shows late decelerations.
Question 4 of 5
Which of the following actions should the nurse take first?
Correct Answer: B
Rationale: Turning the client onto their side is correct. This intervention can improve blood flow to the fetus and reduce the pressure on the vena cava, potentially alleviating late decelerations.
Extract:
A nurse is collecting data from a client who is 18 hr postpartum.
Question 5 of 5
Which of the following findings require the nurse to intervene?
Correct Answer: A
Rationale: Fundus located to the right of the umbilicus requires intervention. This can indicate a full bladder, which can inhibit uterine contraction and increase the risk of postpartum hemorrhage.