Practice Question
A nurse is caring for a client who is at 40 weeks gestation and is in active labor. The client has 6 cm of cervical dilation and 100% cervical effacement. The nurse obtains the client's blood pressure reading as 82/52 mm Hg. Which of the following nursing interventions should the nurse perform?
Answer Choices:
Correct Answer:
Ask the client to turn onto her side
Rationale:
🟤 A blood pressure of 82/52 mm Hg in active labor suggests hypotension, possibly from vena cava compression.
🟤 Turning the client to her left side relieves pressure on the inferior vena cava and improves perfusion.
🟤 This intervention supports both maternal and fetal oxygenation.
🟤 Maternal hypotension can cause fetal distress due to reduced placental blood flow.
🟤 Repositioning is the first and safest action before more aggressive interventions are used.
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This question is from RN Capstone week 11 Exam which contains 50 questions.
More Questions from This Exam
A nurse is caring for a client who is scheduled for a maternal serum alpha-fetoprotein test at 15 weeks of gestation. The nurse provides which of the following explanations about this test to the client?
Answer Choices:
A. This test identifies an Rh incompatibility between the mother and fetus.
B. It assesses various markers of fetal well-being.
C. It is a screening test for spinal defects in the fetus.
D. This test assesses fetal lung maturity.
A nurse in the labor and delivery unit is caring for a client who is undergoing external fetal 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. Place the client in the lateral position.
B. Elevate the client's legs.
C. Increase the rate of maintenance IV infusion.
D. Administer oxygen using a nonrebreather mask.
A nurse is providing home safety information for an older adult client who uses a cane. Which of the following statements should the nurse include in the teaching?
Answer Choices:
A. "You should advance the cane 12 to 24 inches before taking a step."
B. "You should hold the cane in your weak hand when ambulating."
C. "The cane's height should be the exact distance from the floor to mid flank."
D. "You should advance your weak leg forward to the cane, then move your strong leg."
A nurse working in a community health center is preparing a flow sheet detailing essential screenings according to age group. At which developmental stage on the chart should the nurse add scoliosis screening?
Answer Choices:
A. Older Adult
B. Pre-adolescent/adolescent
C. Toddler/Preschooler
D. Infant
A nurse is assessing a client who is in active labor and notes that the presenting part is at 0 station. Which of the following is the correct interpretation of this clinical finding?
Answer Choices:
A. The largest fetal diameter has passed through the pelvic outlet
B. The posterior fontanel is palpable
C. The lowermost portion of the fetus is at the level of the ischial spines
D. The fetal head is in the left occiput posterior position
Question Details
- Category: RN Nursing Exam(s)
- Subcategory: ATI Exam(s)
- Domain: RN ATI Capstone Exam(s)
- Answer Choices: 4