ATI PRACTICE EXAM 2 COMPLETE STUDY QUESTIONS
WITH VERIFIED ANSWERS GUARANTEED PASS |
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A nurse is preparing a client who is in active labor for
... [Show More] epidural analgesia. Which of the following
actions should the nurse take? - Answer>>> The nurse should obtain a 20 to 30 min EFM strip
before induction of the spinal anesthesia. The strip should be evaluated as baseline information.
After induction, fetal heart rate and pattern is assessed and documented every 5 to 10 min and
emergency care is provided for fetal distress, such as bradycardia or late decelerations.
The nurse should position the client in a sitting or side-lying position with her back curved to
widen the intervertebral space.
The nurse should inform the client that the anesthetic effect will last 1 to 3 hr.
A nurse in the labor and delivery unit is caring for a client who is undergoing external fetal
monitoring. the nurse observes 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>>> Placing the client in the lateral position is the first
action the nurse should take. This is a late deceleration and is associated with fetal hypoxemia
due to insufficient placental perfusion. Other important actions but not priority include,
increasing the rate of maintenance IV infusion, elevating the client's legs, and administering
oxygen using a 10 L/min nonrebreather mask.
Station is the relation of the presenting part to the ischial spines of the maternal pelvis and is
measured in centimeters above, below, or at the level of the spines. If the station is minus (-) 1,
then - Answer>>> the presenting part is 1 cm above the ischial spines.
During the first stage of labor, a client is using pattern-paced breathing and reports feeling
lightheaded and tingling of her fingers. Which of the following actions should the nurse take? -
Answer>>> This client is experiencing respiratory alkalosis due to hyperventilation. The client
should be assisted to breathe into a paper bag or to cup her hands over her mouth to increase the
carbon dioxide level, which replaces the bicarbonate ion. She needs to rebreathe carbon dioxide
to replace the bicarbonate ion and should maintain a breathing rate of 32 to 40 breaths per
minute.
A nurse is assessing a client in labor who has had epidural anesthesia for pain relief. Which of
the following findings should the nurse identify as a complication from the epidural block? -
Answer>>> Maternal hypotension is an adverse effect of epidural anesthesia. The nurse should
administer an IV fluid bolus prior to the placement of the epidural catheter to decrease the
likelihood of this complication.
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>>> A client in labor should be encouraged to empty her bladder every 2 hr. Bladder
distention can impede the descent of the fetus and slow the progression of labor. It can also
contribute to uterine atony after delivery, increasing the client's risk of postpartum hemorrhage. [Show Less]
