Practice Question
A nurse in the labor and delivery unit is caring for a client who is undergoing external fecal monitoring. The nurse observes that the fetal heart rate begins to slow after the start of a contraction, and the lowest rate occurs after the peak of the contraction. Which of the following actions should the nurse take first?
Answer Choices:
Correct Answer:
Place the client in the lateral position.
Rationale:
👉 The described pattern is a late deceleration, which is a sign of uteroplacental insufficiency.
👉 The first intervention is to reposition the client laterally, improving placental blood flow.
👉 Oxygen, fluids, and leg elevation may follow, but position change is the immediate priority.
👉 This helps alleviate pressure on the vena cava and restore fetal oxygenation.
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This question is from RN ATI Maternal&Newborn Care~Nurs4650 which contains 48 questions.
More Questions from This Exam
A nurse is teaching a newborn's parent to care for the umbilical cord stump. Which of the following instructions should the nurse include?
Answer Choices:
A. Apply petroleum jelly to the cord stump.
B. Wash the cord daily with mild soap and water.
C. Give a sponge bath until the cord stump falls off.
D. Cover the cord with the diaper.
A nurse is admitting a client who is at 30 weeks of gestation and is in preterm labor. The client has a new prescription for betamethasone and asks the nurse about the purpose of this medication. The nurse should provide which of the following explanations?
Answer Choices:
A. It increases the fetal heart rate.
B. It halts cervical dilation.
C. It is used to stop preterm labor contractions.
D. It promotes fetal lung maturity.
A nurse is caring for a client following an amniotomy, who is now in the active phase of the first stage of labor. Which of the following actions should the nurse implement with this client?
Answer Choices:
A. Encourage the client to empty her bladder every 2 hr.
B. Remind the client to bear down with each contraction.
C. Maintain the client in the lithotomy position.
D. Perform vaginal examinations frequently.
A nurse is completing the admission assessment of a client who is at 38 weeks of gestation and has severe preeclampsia. Which of the following is an expected finding?
Answer Choices:
A. Report of headache
B. Tachycardia
C. Polyuria
D. Absence of clonus
A nurse is caring for a client who is to undergo a biophysical profile. The client asks the nurse what is being evaluated during this test. Which of the following should the nurse include? (Select all that apply.)
Answer Choices:
A. Amniotic fluid volume
B. Fetal motion
C. Fetal breathing
D. Fetal gender
E. Fetal neck translucency
Question Details
- Category: RN Nursing Exam(s)
- Subcategory: ATI Exam(s)
- Domain: RN ATI Maternal & Newborn Care
- Answer Choices: 4