CORRECT ANSWERS WITH RATIONALE ALREADY
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UPDATE 2025.
A nurse is reviewing the medical record of a client who is at 33 wks
gestation and has placenta previa and bleeding. What scripts should the
nurse clarify with the provider?
a. insert a large-bore IV catheter
b.perform a vaginal exam
c.perform continuous external fetal monitoring
d.obtain a blood sample for lab testing - CORRECT ANSWER b. perform a
vaginal exam
When a client has a placenta previa, the placenta implants in the lower part
of the uterus and obstructs the cervical os (the opening to the vagina). The
nurse should clarify this prescription because any manipulation can cause
tearing of the placenta and increased bleeding.
A nurse is caring for a client who is in the latent phase of labor and is
receiving oxytocin via continuous IV infusion. The nurse notes that the
client is having contractions every 2 min which last 100-110 seconds that
the fetal heart rate is reassuring. What action should the nurse take?
a. decrease the dose of oxytocin by half
b.administer oxygen via nonrebreather mask
c.decrease the infusion rate of the maintenance IV fluid
d.administer terbutaline 0.25mg subq - CORRECT ANSWER a. decrease
the dose of oxytocin by half
The nurse should decrease the dose of oxytocin by half because the client
is experiencing uterine tachysystole.
A nurse is caring for a client who is in active labor and has meconium
staining of the amniotic fluid. The nurse notes a reassuring FHR tracing
from the external fetal monitor. What action should the nurse take?
a. prepare the client for emergency c-section
b.perform endotrach suctioning as soon as the fetal head is delivered
c.prepare equipment needed for newborn resuscitation
d.prepare the client for an ultrasound exam - CORRECT ANSWER c.
prepare equipment needed for newborn resuscitation
The nurse should ensure that all supplies and equipment needed for
resuscitation of the newborn are readily available for every delivery.
Endotracheal suctioning is recommended in cases of meconium staining
only if the newborn has poor respiratory effort, decreased muscle tone, and
,ATI LEADERSHIP TEST BANK EXAM QUESTIONS AND
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UPDATE 2025.
bradycardia after delivery.
,ATI LEADERSHIP TEST BANK EXAM QUESTIONS AND
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UPDATE 2025.
A nurse is caring for a client who is at 37 wks gestation and is undergoing a
nonstress test. The FHR is 130 without accelerations for the past 10 min.
What action should the nurse take?
a. request a script for an internal fetal scalp electrode
b.auscultate the FHR with a doppler transducer
c.report the nonreactive test result to the provider immediately
d.use vibroacoustic stim on the client's abd for 3 seconds -
CORRECT ANSWER d. use vibroacoustic stim on the client's abd for
3 seconds
The nurse should use a vibroacoustic stimulator on the client's abdomen to
elicit fetal activity because the fetus is most likely sleeping. Fetal movement
should cause accelerations in the FHR.
A nurse is reviewing lab results for a client who is at 37 wks gestation.
The nurse notes that the client is rubella non-immune, positive for group A
beta-hemolytic strep, and has a blood type O neg. What action should the
nurse take?
a. instruct the client to obtain a rubella immunization after delivery
b.request a script for an antibiotic until delivery
c.inform the client that she will have to deliver via c-section
d.administer a dose of Pho(D) immune globulin - CORRECT ANSWER a.
instruct the client to obtain a rubella immunization after delivery
A nurse is reviewing the med record of a client who is at 39 wks gestation
and has polyhydramnios. What finding should the nurse expect?
a. total pregnancy wt gain of 3.6 kg
b.fetal GI anomaly
c.gestational HTN
d.fundal height of 34 cm - CORRECT ANSWER b. fetal GI anomaly
Polyhydramnios is the presence of excessive amniotic fluid
surrounding the unborn fetus. Gastrointestinal malformations and
neurologic disorders are expected findings for a fetus experiencing
the effects of polyhydramnios.
A nurse is teaching a client who has pre-eclampsia and is to receive
magnesium sulfate via continuous IV infusion about expected adverse
effects. What adverse effects should the nurse include in the teaching?
a. elevated BP
, ATI LEADERSHIP TEST BANK EXAM QUESTIONS AND
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GRADED A+ FOR GUARANTEED PASS LATEST
UPDATE 2025.
b.feeling of warmth
c.generalized pruritis
d.hyperactivity - CORRECT ANSWER b. feeling of warmth
The nurse should tell the client to expect the feeling of warmth all over
her body while the magnesium sulfate is infusing.
A nurse is caring for a client who is in the latent phase of labor and is
experiencing low back pain. What action should the nurse take?
a. position the client supine with legs elevated
b.instruct the client to pant during contractions