Practice Question
A nurse is caring for a client who is receiving opioid epidural analgesia during labor. Which of the following findings is the nurse's priority?
Answer Choices:
Correct Answer:
Blood pressure 80/56 mm Hg.
Rationale:
🟡 Hypotension is a priority concern with epidural analgesia due to vasodilation and decreased venous return.
🟡 A drop in blood pressure can compromise placental perfusion, endangering both mother and fetus.
🟡 This finding requires immediate intervention such as IV fluid bolus, positioning, and possibly vasopressors.
🟡 Other symptoms like itching and fever are common side effects but not life-threatening.
🟡 Prioritizing maternal circulation maintains fetal oxygenation and prevents further complications.
Want to practice more questions like this?
This question is from RN ATI~Maternal &Newborn final Exam which contains 81 questions.
More Questions from This Exam
A nurse on the obstetric unit is caring for a client who experienced abruptio placentae. The nurse observes petechiae and bleeding around the IV access site. The nurse should recognize that this client is at risk for which of the following complications?
Answer Choices:
A. Disseminated intravascular coagulation
B. Preeclampsia
C. Anaphylactoid syndrome of pregnancy
D. Puerperal infection
A nurse is caring for a client who had a vaginal delivery 2 hr ago. Which of the following actions should the nurse anticipate in the care of this client? (Select all that apply.)
Answer Choices:
A. Massage a firm fundus.
B. Determine whether the fundus is midline.
C. Document fundal height.
D. Observe the lochia during palpation of fundus.
E. Administer methylergonovine maleate if uterus is boggy.
Nurse is assessing a client who is in active labor and notes that the presenting part is at O station. Which of the following is the correct Interpretation of this clinical finding?
Answer Choices:
A. The posterior fontanel is palpable.
B. The lowermost portion of the fetus is at the level of the ischial spines.
C. The fetal head is in the left occiput posterior position.
D. The largest fetal diameter has passed through the pelvic outlet.
A nurse is caring for a group of clients on an intrapartum unit. Which of the following findings should be reported to the provider immediately?
Answer Choices:
A. A client who is at 28 weeks of gestation and receiving terbutaline reports fine tremors
B. A client who has a diagnosis of preeclampsia has 2+ proteinuria and 2+ patellar reflexes
C. A client who has a diagnosis of preeclampsia reports epigastric pain and unresolved headache
D. A tearful client who is at 32 weeks of gestation and is experiencing irregular, frequent contractions
A nurse is caring for a client who is in the first stage of labor and is using pattern-paced breathing. The client says she feels lightheaded and her fingers are tingling. Which of the following actions should the nurse take?
Answer Choices:
A. Administer oxygen via nasal cannula.
B. Assist the client to breathe into a paper bag.
C. Instruct the client to increase her respiratory rate to more than 42 breaths per min.
D. Have the client tuck her chin to her chest.
Question Details
- Category: RN Nursing Exam(s)
- Subcategory: ATI Exam(s)
- Domain: RN ATI Maternal & Newborn Care
- Answer Choices: 4