ATI RN Maternal Newborn 2023 IV

Extract:

A nurse is caring for a client who is experiencing infertility and is requesting in vitro fertilization.

Question 1 of 5

Which of the following information should the nurse provide to the client?

A. Inform the client about the possible need for reduction of multiple fetuses. B. Instruct the client not to use donor oocytes. C. Instruct the client to avoid freezing embryos for possible use in the future. D. Inform the client that sperm will be introduced to the uterus during ovulation.

Correct Answer: A

Rationale: IVF increases the risk of multiple gestations, necessitating discussion about fetal reduction to reduce maternal and fetal risks. Donor oocytes and embryo freezing are options, and sperm is fertilized in vitro, not in utero.

Extract:

A nurse on the postpartum unit is caring for four clients.

Question 2 of 5

For which of the following clients should the nurse notify the provider?

A. A client who reports lochia rubra requiring changing perineal pads every 3 hr B. A client who reports abdominal cramping during breastfeeding C. A client who has a urinary output of 300 mL in 8 hr D. A client who is receiving magnesium sulfate and has absent deep tendon reflexes

Correct Answer: D

Rationale: Absent deep tendon reflexes in a client on magnesium sulfate indicate magnesium toxicity, requiring immediate provider notification to prevent respiratory or cardiac complications.

Extract:

A nurse is reviewing the history of a client who is pregnant.

Question 3 of 5

Which of the following clinical data indicates the client is at risk for preterm delivery?

A. Previous cervical cerclage B. Previous delivery of a newborn weighing 2.5 kg (5.5 lb) C. Previous reactive non-stress test D. Previous delivery at 37 weeks gestation

Correct Answer: A

Rationale: A history of cervical cerclage indicates cervical insufficiency, a known risk factor for preterm delivery. The other findings do not directly correlate with preterm risk.

Extract:

A nurse on a labor and delivery unit is providing teaching to a client who plans to use hypnosis to control labor pain.

Question 4 of 5

Which of the following Information should the nurse Include?

A. Hypnosis can be beneficial if you practiced it during the prenatal period.' B. Synchronized breathing will be required during hypnosis.' C. Focusing on controlling body functions will be helpful during hypnosis.' D. Hypnosis does not work for controlling pain associated with labor.'

Correct Answer: A

Rationale: Hypnosis is more effective for labor pain control if practiced prenatally, enhancing relaxation and pain perception alteration. Breathing and body control are not mandatory, and hypnosis can be effective.

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?

A. Perform fetal scalp stimulation B. Administer oxygen via a face mask. C. Elevate the client's head. D. Decrease the rate of IV fluids.

Correct Answer: B

Rationale: Late decelerations suggest uteroplacental insufficiency. Administering oxygen via face mask increases maternal oxygen levels, improving fetal oxygenation, and is the priority after repositioning.

ATI RN Maternal Newborn 2023 IV | Nurselytic

Nurselytic

ATI RN

ATI RN