ATI maternal newborn questions with solutions a nurse is caring for a client who reports manifestations of preterm labor. which of the following findings are risk factors of this condition? (select all that apply)
A. urinary tract infection
B. multifetal pregnancy
C. oligohydraminos
D. diabetes mellitus
E. uterine abnormalities Correct Answer - A. urinary tract infection
B. multifetal pregnancy
C. oligohydraminos
D. diabetes mellitus
E. uterine abnormalities
a client calls a providers office and reports having contractions for 2 hours that increased with activity and did not decrease with rest and hydration. the client denies leaking of vaginal fluid but did notice blood when wiping after voiding. which of the following manifestations is the client experiencing?
A. Braxton hicks contractions
B. rupture of membranes
C. fetal descent
D. true contractions Correct Answer - D. true contractions
a nurse is caring for a client having contractions every 8 minutes that are 30-40 seconds in duration. the clients cervix is 2cm dilated, 50% effaced, and the fetus is at a -2 station with FHR around 140/min. which of the following stages and phases
of labor is the client experiencing. A. first stage, latent phase B. first stage, active phase
C. first stage, transition phase
D. second stage of labor Correct Answer - A. first stage, latent phase
a nurse is caring for a client who is 40 weeks of gestation and reports having large gush of fluid from the vagina while walking from the bathroom. which of the following actions should the nurse take first?
A. examine the amniotic fluid for meconium
B. check FHR
C. dry the client and make them comfortable
D. apply a trochanter Correct Answer - B. check FHR
a nurse is completing an admission assessment for a client who is 39 weeks of gestation and reports fluid leaking from the vagina for 2 days. which of the following conditions is the client at risk for developing?
A. cord prolapse
B. infection
C. postpartum hemorrhage
D. hydramnios Correct Answer - B. infection
a nurse is caring for a client who is in active labor, irritable, and reports the urge to have a bowel movement. the client vomits and states, "I've had enough. I can't do this anymore." which of the following stages of labor is the client experiencing?
A. second stage
B. fourth stage
C. transition stage
D. latent phase Correct Answer - C. transition stage a nurse is caring for a client who is at 40 weeks gestation and experiencing contractions every 3-5 minutes and becoming stronger. a vaginal exam reveals that the clients cervix is 3cm dilated, 80% effaced, and -1 station. the client asks for pain medication. which of the following actions should the nurse take? (select all that apply)
A. encourage use of patterned breathing techniques
B. insert an indwelling catheter
C. administer opioid analgesic medication
D. suggest application of cold
E. provide ice chips Correct Answer - A. encourage use of patterned breathing techniques
C. administer opioid analgesic medication
D. suggest application of cold
a nurse is caring for a client who is in active labor. the client reports lower-back pain. the nurse suspects that this pain is related to a persistent occiput posterior fetal position. which of the following non-pharmacological nursing interventions should the nurse recommend the client?
A. abdominal effleurage
B. sacral counter pressure C. showering if not contraindicated
D. back rub and massage Correct Answer - B. sacral counter pressure
a nurse if caring for a client following the administration of an epidural block and is preparing to administer an IV fluid bolus. the clients partner asks about the purpose of the IV fluids. which of the following statements should the nurse make?
A. it is needed to promote increased urine output
B. it is needed to counteract respiratory depression C. it is needed to counteract hypotension
D. it is needed to prevent oligohydramnios Correct Answer - C. it is needed to counteract hypotension
a nurse is caring for a client who is in the second stage of labor. the clients labor has been progressing, and a vaginal delivery is expected in 20mins. the provider is preparing to administer lidocaine for pain relief and perform an episiotomy. the nurse should know that which of the following types of regional anesthetic block is
to be administered?
A. pudendal B. epidural
C. spinal
D. paracervical Correct Answer - A. pudendal
a nurse is caring for a client who is using patterned breathing during labor. the client reports numbness and tingling of the fingers. which of the following actions should the nurse take?
A. administer oxygen via nasal cannula at 2L/min
B. apply a warm blanket
C. assist the client in a side-lying position
D. place an oxygen mask over the clients nose and mouth Correct Answer - D. place an oxygen mask over the clients nose and mouth
a nurse is caring for a client who is in active labor. the cervix is dilated 5cm, and the membranes are intact. based on the use of external electronic fetal monitoring, the nurse notes a FHR of 115-125/min with occasional increases up to 150-155/min that lasts for 25 seconds and have moderate variability. there is no slowing of the FHR from the baseline. the client is exhibiting manifestations of which of the following? (select all that apply)
A. moderate variability
A. urinary tract infection
B. multifetal pregnancy
C. oligohydraminos
D. diabetes mellitus
E. uterine abnormalities Correct Answer - A. urinary tract infection
B. multifetal pregnancy
C. oligohydraminos
D. diabetes mellitus
E. uterine abnormalities
a client calls a providers office and reports having contractions for 2 hours that increased with activity and did not decrease with rest and hydration. the client denies leaking of vaginal fluid but did notice blood when wiping after voiding. which of the following manifestations is the client experiencing?
A. Braxton hicks contractions
B. rupture of membranes
C. fetal descent
D. true contractions Correct Answer - D. true contractions
a nurse is caring for a client having contractions every 8 minutes that are 30-40 seconds in duration. the clients cervix is 2cm dilated, 50% effaced, and the fetus is at a -2 station with FHR around 140/min. which of the following stages and phases
of labor is the client experiencing. A. first stage, latent phase B. first stage, active phase
C. first stage, transition phase
D. second stage of labor Correct Answer - A. first stage, latent phase
a nurse is caring for a client who is 40 weeks of gestation and reports having large gush of fluid from the vagina while walking from the bathroom. which of the following actions should the nurse take first?
A. examine the amniotic fluid for meconium
B. check FHR
C. dry the client and make them comfortable
D. apply a trochanter Correct Answer - B. check FHR
a nurse is completing an admission assessment for a client who is 39 weeks of gestation and reports fluid leaking from the vagina for 2 days. which of the following conditions is the client at risk for developing?
A. cord prolapse
B. infection
C. postpartum hemorrhage
D. hydramnios Correct Answer - B. infection
a nurse is caring for a client who is in active labor, irritable, and reports the urge to have a bowel movement. the client vomits and states, "I've had enough. I can't do this anymore." which of the following stages of labor is the client experiencing?
A. second stage
B. fourth stage
C. transition stage
D. latent phase Correct Answer - C. transition stage a nurse is caring for a client who is at 40 weeks gestation and experiencing contractions every 3-5 minutes and becoming stronger. a vaginal exam reveals that the clients cervix is 3cm dilated, 80% effaced, and -1 station. the client asks for pain medication. which of the following actions should the nurse take? (select all that apply)
A. encourage use of patterned breathing techniques
B. insert an indwelling catheter
C. administer opioid analgesic medication
D. suggest application of cold
E. provide ice chips Correct Answer - A. encourage use of patterned breathing techniques
C. administer opioid analgesic medication
D. suggest application of cold
a nurse is caring for a client who is in active labor. the client reports lower-back pain. the nurse suspects that this pain is related to a persistent occiput posterior fetal position. which of the following non-pharmacological nursing interventions should the nurse recommend the client?
A. abdominal effleurage
B. sacral counter pressure C. showering if not contraindicated
D. back rub and massage Correct Answer - B. sacral counter pressure
a nurse if caring for a client following the administration of an epidural block and is preparing to administer an IV fluid bolus. the clients partner asks about the purpose of the IV fluids. which of the following statements should the nurse make?
A. it is needed to promote increased urine output
B. it is needed to counteract respiratory depression C. it is needed to counteract hypotension
D. it is needed to prevent oligohydramnios Correct Answer - C. it is needed to counteract hypotension
a nurse is caring for a client who is in the second stage of labor. the clients labor has been progressing, and a vaginal delivery is expected in 20mins. the provider is preparing to administer lidocaine for pain relief and perform an episiotomy. the nurse should know that which of the following types of regional anesthetic block is
to be administered?
A. pudendal B. epidural
C. spinal
D. paracervical Correct Answer - A. pudendal
a nurse is caring for a client who is using patterned breathing during labor. the client reports numbness and tingling of the fingers. which of the following actions should the nurse take?
A. administer oxygen via nasal cannula at 2L/min
B. apply a warm blanket
C. assist the client in a side-lying position
D. place an oxygen mask over the clients nose and mouth Correct Answer - D. place an oxygen mask over the clients nose and mouth
a nurse is caring for a client who is in active labor. the cervix is dilated 5cm, and the membranes are intact. based on the use of external electronic fetal monitoring, the nurse notes a FHR of 115-125/min with occasional increases up to 150-155/min that lasts for 25 seconds and have moderate variability. there is no slowing of the FHR from the baseline. the client is exhibiting manifestations of which of the following? (select all that apply)
A. moderate variability
