ATI RN
ATI RN Maternal Newborn 2023 II Questions
Extract:
A nurse is caring for a client who is hypotensive following the administration of epidural anesthesia.
Question 1 of 5
Which of the following actions should the nurse take?
Correct Answer: A
Rationale: A side-lying position improves venous return and blood pressure after epidural-induced hypotension.
Extract:
A nurse is caring for a client who reports spontaneous rupture of membranes. The nurse observes fetal bradycardia on the FHR tracing and notices that the umbilical cord is protruding.
Question 2 of 5
After calling for assistance and notifying the provider, which of the following actions should the nurse take next?
Correct Answer: C
Rationale: Applying upward pressure relieves cord compression in prolapse, the priority to improve fetal oxygenation, before other interventions.
Extract:
A nurse is caring for a client who is in active labor with a fetus in the occipitoposterior position. The nurse assists the client into a hands-and-knees position.
Question 3 of 5
Which of the following questions should the nurse ask to evaluate the effectiveness of this intervention?
Correct Answer: C
Rationale: The hands-and-knees position aims to rotate the fetus from occipitoposterior, reducing back labor, a key symptom of this malposition.
Extract:
A nurse is assessing a newborn who was born 2 hr ago and was admitted to the neonatal intensive care unit with chest wall retractions and blue discoloration of the hands and feet.
Question 4 of 5
Which of the following findings indicates a decline in the newborn's status?
Correct Answer: D
Rationale: Oxygen saturation of 89% indicates worsening hypoxemia, a critical decline in respiratory status, compared to transient or less specific findings.
Extract:
A nurse is caring for a client who is hypotensive following the administration of epidural anesthesia.
Question 5 of 5
Which of the following actions should the nurse take?
Correct Answer: A
Rationale: A side-lying position improves venous return and blood pressure after epidural-induced hypotension.