Practice Question
A nurse is caring for a client who is in labor. Which of the following findings should prompt the nurse to reassess the client?
Answer Choices:
Correct Answer:
An urge to have a bowel movement during contractions.
Rationale:
🚽 An urge to defecate during labor often indicates fetal descent into the birth canal, signaling that the second stage of labor is imminent.
🚽 This sensation results from pressure exerted by the fetal presenting part on the rectum and pelvic floor nerves.
🚽 Immediate reassessment, including cervical examination, is crucial to determine readiness for pushing and to ensure safe delivery timing.
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This question is from RN ATI Maternal & Newborn~2023 Exam which contains 53 questions.
More Questions from This Exam
A nurse is caring for a client who is in labor and experiences abruptio placenta. Which of the following findings should the nurse expect?
Answer Choices:
A. Hypertension.
B. Uterine tenderness.
C. Fetal tachycardia.
D. Leukorrhea.
A nurse is caring for a client who is at 28 weeks of gestation and received no immunizations during childhood. Which of the following vaccines should the nurse plan to administer?
Answer Choices:
A. Human papillomavirus.
B. Rubella.
C. Tetanus.
D. Varicella.
A nurse is assessing a newborn who was born via a forceps-assisted birth. Which of the following findings should the nurse identify as an injury caused by the forceps?
Answer Choices:
A. Depressed anterior fontanel.
B. Uneven gluteal skinfolds.
C. Epicanthal folds.
D. Facial asymmetry.
A nurse is caring for a client who is taking an oral contraceptive. The nurse should instruct the client to report which of the following findings to the provider immediately?
Answer Choices:
A. Breast tenderness.
B. Persistent headaches.
C. Vaginal itching.
D. Painful intercourse.
A nurse is caring for a client who is postpartum and just delivered a newborn who weighs 4.5 kg (10 lb). Which of the following manifestations should the nurse recognize as a potential sign of hemorrhage?
Answer Choices:
A. Blood pressure 88/40 mm HO.
B. Urinary output 40 mL/hr.
C. Moderate rubra lochia.
D. Heart rate 90/min.
Question Details
- Category: RN Nursing Exam(s)
- Subcategory: ATI Exam(s)
- Domain: RN ATI Maternal & Newborn Care
- Answer Choices: 4