Practice Question
A nurse is assessing a client who is at 39 weeks of gestation and determines that the fetus is in a left occipitoanterior position. On which of the following sites should the nurse place the external fetal monitor to hear the point of maximum impulse of the fetal heart rate?
Answer Choices:
Correct Answer:
left lower quadrant.
Rationale:
🔶In the left occipitoanterior (LOA) fetal position, the fetal back lies along the mother’s left side and anteriorly, making the left lower quadrant the most accurate location for hearing fetal heart tones.
🔶The PMI (point of maximal intensity) of the fetal heart is best auscultated over the fetal upper back, closest to the surface of the abdomen.
🔶LOA is the most common and optimal fetal position for delivery, and heart tones are typically loudest below the umbilicus on the side of the fetal back.
Want to practice more questions like this?
This question is from RN ATI Maternal Newborn-NGN~2019 which contains 72 questions.
More Questions from This Exam
A nurse is assessing a client who has preeclampsia during a prenatal visit. Which of the following findings should the nurse report to the provider?
Answer Choices:
A. Urine protein of 3+
B. Deep tendon reflexes of 2+
C. Blood glucose 110 mg/dL
D. Hemoglobin 13 g/dL
A nurse is planning care for a newborn who is scheduled to start phototherapy using a lamp. Which of the following actions should the nurse include in the plan?
Answer Choices:
A. Give the newborn 1 Oz of glucose water every 4 hr.
B. Apply a thin layer of lotion to the newborn's skin every 8 hr.
C. Ensure the newborns eyes are closed beneath the shield.
D. Dress the newborn in a thin layer of clothing during therapy.
A nurse is performing an assessment for a newborn and notes breast tissue that has a flat areola with no bud. The nurse should identify that this finding indicates which of the following conditions?
Answer Choices:
A. Decreased maternal hormones during pregnancy
B. Preterm gestational age
C. Ambiguous secondary sex characteristics
D. Congenital anomaly
A nurse is caring for a newborn immediately following birth and notes a large amount of mucus in the newborns mouth and nose. Identify the sequence the nurse should follow when performing suction with a bulb syringe.
Answer Choices:
A. Assess the newborn for reflex bradycardia.
B. Compress the bulb syringe.
C. Use the bulb syringe to suction the newborn's nose.
D. Place the bulb syringe in the newborn's mouth.
A nurse is caring for a 2-day-old newborn who was born at 35 weeks of gestation.
Answer Choices:
A. Apply a warm compress to the newborn’s abdomen to reduce discomfort
B. Initiate formula feeding to maintain caloric intake
C. Notify the provider immediately
D. Administer an oral electrolyte solution
Question Details
- Category: RN Nursing Exam(s)
- Subcategory: ATI Exam(s)
- Domain: RN ATI Maternal & Newborn Care
- Answer Choices: 4