306 L&D practice ATI quiz
A nurse on the labor and delivery unit is caring for a client following a vaginal
examination by the provider which is documented as: -1. Which of the following
interpretations of this finding should the nurse make? - 🖋The presenting part is 1 cm
above the ischial spines.
A nurse is caring for a client who is 1 day postpartum and is taking a sitz bath. To
determine the client's tolerance of the procedure, which of the following assessments
should the nurse perform? - 🖋Pulse rate
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? - 🖋Place the client in the lateral
position.
A nurse is caring for a client who is considering several methods of contraception.
Which of the following methods of contraception should the nurse identify as being most
reliable? - 🖋An intrauterine device (IUD)
A nurse is reviewing the health history of a client who has a new prescription for a
combined oral contraceptive (COC). The nurse recognizes that which of the following
client medications can interfere with the effectiveness of the COC? - 🖋Anticonvulsants
A nurse is caring for a client who is beginning to breastfeed her newborn after delivery.
The new mother states, "I don't want to take anything for pain because I am
breastfeeding." Which of the following statements should the nurse make? - 🖋"We can
time your pain medication so that you have an hour or two before the next feeding."
A nurse is caring for a client who is 1 hr postpartum and observes a large amount of
lochia rubra and several small clots on the client's perineal pad. The fundus is midline
and firm at the umbilicus. Which of the following actions should the nurse take? - 🖋
Document the findings and continue to monitor the client.
A nurse on the labor and delivery unit is caring for a client who is having a difficult,
prolonged labor with severe backache. Which of the following contributing causes
should the nurse identify? - 🖋Fetal position is persistent occiput posterior.
A nurse is caring for a client who is a primigravida, at term, and having contractions but
is stating that she is "not really sure if she is in labor or not." Which of the following
should the nurse recognize as a sign of true labor? - 🖋Changes in the cervix
A nurse on the labor and delivery unit is caring for a client following a vaginal
examination by the provider which is documented as: -1. Which of the following
interpretations of this finding should the nurse make? - 🖋The presenting part is 1 cm
above the ischial spines.
A nurse is caring for a client who is 1 day postpartum and is taking a sitz bath. To
determine the client's tolerance of the procedure, which of the following assessments
should the nurse perform? - 🖋Pulse rate
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? - 🖋Place the client in the lateral
position.
A nurse is caring for a client who is considering several methods of contraception.
Which of the following methods of contraception should the nurse identify as being most
reliable? - 🖋An intrauterine device (IUD)
A nurse is reviewing the health history of a client who has a new prescription for a
combined oral contraceptive (COC). The nurse recognizes that which of the following
client medications can interfere with the effectiveness of the COC? - 🖋Anticonvulsants
A nurse is caring for a client who is beginning to breastfeed her newborn after delivery.
The new mother states, "I don't want to take anything for pain because I am
breastfeeding." Which of the following statements should the nurse make? - 🖋"We can
time your pain medication so that you have an hour or two before the next feeding."
A nurse is caring for a client who is 1 hr postpartum and observes a large amount of
lochia rubra and several small clots on the client's perineal pad. The fundus is midline
and firm at the umbilicus. Which of the following actions should the nurse take? - 🖋
Document the findings and continue to monitor the client.
A nurse on the labor and delivery unit is caring for a client who is having a difficult,
prolonged labor with severe backache. Which of the following contributing causes
should the nurse identify? - 🖋Fetal position is persistent occiput posterior.
A nurse is caring for a client who is a primigravida, at term, and having contractions but
is stating that she is "not really sure if she is in labor or not." Which of the following
should the nurse recognize as a sign of true labor? - 🖋Changes in the cervix
