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, ATI RN Maternal Newborn Practice Questions (Generated)
1. Fetal Assessment
A nurse is calculating the estimated date of delivery for a client whose last menstrual period began on
November 1. Using Naegele’s rule, what is the expected date of delivery?
• A) August 8
• B) August 1
• C) July 25
• D) September 8
Answer: A) August 8
Rationale: To calculate Naegele's rule, subtract 3 months and add 7 days to the first day of the last
menstrual period. November 1 minus 3 months is August 1, plus 7 days is August 8.
2. Intrapartum Complications
A nurse is caring for a client who is in active labor and receiving oxytocin for induction. The nurse notes
that contractions are occurring every 90 seconds, lasting 80 seconds, and the fetal heart rate shows late
decelerations. Which of the following is the nurse’s priority action?
• A) Stop the oxytocin infusion immediately.
• B) Increase the rate of the IV fluids to maintain hydration.
• C) Administer oxygen via face mask at 10 L/min.
• D) Reposition the client to her left side.
Answer: A) Stop the oxytocin infusion immediately.
Rationale: The client is experiencing uterine tachysystole with fetal compromise, evidenced by late
decelerations. The first priority is to discontinue the oxytocin to reduce contraction frequency and
improve placental perfusion.
,
, ATI RN Maternal Newborn Practice Questions (Generated)
1. Fetal Assessment
A nurse is calculating the estimated date of delivery for a client whose last menstrual period began on
November 1. Using Naegele’s rule, what is the expected date of delivery?
• A) August 8
• B) August 1
• C) July 25
• D) September 8
Answer: A) August 8
Rationale: To calculate Naegele's rule, subtract 3 months and add 7 days to the first day of the last
menstrual period. November 1 minus 3 months is August 1, plus 7 days is August 8.
2. Intrapartum Complications
A nurse is caring for a client who is in active labor and receiving oxytocin for induction. The nurse notes
that contractions are occurring every 90 seconds, lasting 80 seconds, and the fetal heart rate shows late
decelerations. Which of the following is the nurse’s priority action?
• A) Stop the oxytocin infusion immediately.
• B) Increase the rate of the IV fluids to maintain hydration.
• C) Administer oxygen via face mask at 10 L/min.
• D) Reposition the client to her left side.
Answer: A) Stop the oxytocin infusion immediately.
Rationale: The client is experiencing uterine tachysystole with fetal compromise, evidenced by late
decelerations. The first priority is to discontinue the oxytocin to reduce contraction frequency and
improve placental perfusion.
