ATI RN
ATI RN Maternal Newborn 2023 III Questions
Extract:
A nurse is caring for a client who is in labor. The nurse observes late decelerations of the fetal heart rate on the external fetal monitor. After placing the client in a side-lying position.
Question 1 of 5
Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Administering oxygen via a face mask increases maternal oxygen saturation, improving fetal oxygenation in response to late decelerations, which indicate fetal hypoxia.
Extract:
A newborn, 4 hours old, born at 41 weeks, mother with syphilis and cannabis use, jittery, weak cry, mottled extremities, rapid respirations.
Question 2 of 5
Complete the diagram:
Correct Answer: A
Rationale: Neonatal hypoglycemia fits jitteriness and glucose 30 mg/dL; dextrose IV and monitoring glucose correct it; glucose and HR monitor progress.
Extract:
A nurse is preparing to administer phytonadione 0.5 mg to a newborn.
Question 3 of 5
What routes should the nurse choose for administration of the medication?
Correct Answer: C
Rationale: The intramuscular route in the vastus lateralis is preferred for phytonadione in newborns due to its large muscle mass and effective absorption.
Extract:
A nurse is caring for a client who is in labor.
Question 4 of 5
Which of the following findings should prompt the nurse to reassess the client?
Correct Answer: B
Rationale: An urge to have a bowel movement during contractions may signal the baby's head descending into the birth canal, indicating rapid labor progression requiring reassessment.
Extract:
A nurse is caring for a client who is in labor. The nurse observes late decelerations of the fetal heart rate on the external fetal monitor. After placing the client in a side-lying position.
Question 5 of 5
Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Administering oxygen via a face mask increases maternal oxygen saturation, improving fetal oxygenation in response to late decelerations, which indicate fetal hypoxia.