ATI RN
ATI Maternal Newborn 2019 NGN Questions
Extract:
A nurse is caring for a client who is in active labor and is receiving oxytocin via IV infusion. The nurse has applied an internal fetal heart monitor and recognizes an early deceleration of the fetal heart rate tracing.
Question 1 of 5
Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Early decelerations are benign, caused by head compression, and require only continued monitoring. Discontinuing oxytocin, changing position, or giving oxygen is unnecessary unless decelerations worsen.
Question 2 of 5
Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Early decelerations are benign, caused by head compression, and require only continued monitoring. Discontinuing oxytocin, changing position, or giving oxygen is unnecessary unless decelerations worsen.
Extract:
A nurse is caring for a client who is 1 day postpartum and breastfeeding her newborn. The client reports sore nipples.
Question 3 of 5
Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Assessing the newborn's latch is critical to identify if improper positioning causes sore nipples, allowing correction to alleviate discomfort. Limiting breastfeeding time, offering formula, or spacing feedings 4 hours apart may reduce milk supply or nutrition.
Extract:
A nurse is assisting the provider to administer a dinoprostone insert to induce labor for a client.
Question 4 of 5
Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Verifying that informed consent is obtained before administering any medication or procedure is a crucial nursing responsibility. Informed consent ensures that the client is fully aware of the risks, benefits, and alternatives, and gives permission for the procedure to take place. Placing the client in a semi-Fowler's position is not necessary, as it does not enhance the medication's effectiveness. Instructing the client to avoid urinary elimination is inappropriate and could cause discomfort. Allowing the medication to reach room temperature is not required for dinoprostone inserts per standard protocols.
Extract:
A nurse is performing a nonstress test on a client who is at 35 weeks of gestation and has diabetes mellitus. The test reveals no accelerations of fetal heart rate for 20 min.
Question 5 of 5
Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Vibroacoustic stimulation is appropriate to stimulate fetal heart rate accelerations during a nonstress test if none are observed, as it may elicit a response indicating fetal well-being. Trendelenburg position, vaginal exams, or Coombs' tests are not indicated for a nonreactive nonstress test.