Practice Question
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:
Correct Answer:
Encourage the client to empty her bladder every 2 hr.
Rationale:
✔️ A full bladder can impede fetal descent and worsen labor discomfort.
✔️ Encouraging the client to void regularly reduces the risk of bladder distention and promotes efficient labor progression.
✔️ Bearing down is appropriate only during the second stage of labor.
✔️ Vaginal exams should be performed only as needed to reduce infection risk after amniotomy.
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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 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:
A. Administer oxygen using a non-rebreather mask.
B. Increase the rate of maintenance IV infusion.
C. Elevate the client’s legs.
D. Place the client in the lateral position.
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 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