a nurse is reviewing the monitor tracing of a client in labor and notes late decelerations which of the following interventions should the nurse perfo a nurse is reviewing the monitor tracing of a client in labor and notes late decelerations which of the following interventions should the nurse perfo
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Nursing Elites

ATI RN

ATI RN Comprehensive Exit Exam

1. While reviewing the monitor tracing of a client in labor, a nurse notes late decelerations. Which of the following interventions should the nurse perform?

Correct answer: B

Rationale: Repositioning the client onto her left side is the appropriate intervention when late decelerations are noted on the monitor tracing. This action helps increase uteroplacental blood flow by relieving pressure on the vena cava and aorta, improving fetal oxygenation. Administering oxygen via nasal cannula may be indicated for variable decelerations, not late decelerations. Administering an amnioinfusion is not the primary intervention for late decelerations. Providing reassurance to the client is important but addressing the underlying cause of late decelerations takes precedence.

2. Freud's psychosexual stage that occurs between the ages of 3 and 5 and includes the Oedipal period is the _________ stage.

Correct answer: C

Rationale: The correct answer is C: Phallic. Freud's psychosexual stage that occurs between ages 3 and 5 and includes the Oedipal period is the phallic stage. This stage is characterized by the Oedipus complex for boys and the Electra complex for girls. Choices A, B, and D are incorrect because the oral stage typically occurs during the first year of life, the anal stage occurs around ages 2 to 3, and the genital stage is the final stage in Freud's theory of psychosexual development.

3. A child has Wilms' tumor and is scheduled for surgery. Which of the following actions should the nurse include in the plan of care?

Correct answer: D

Rationale: Palpating the abdomen of a child with Wilms' tumor should be avoided to prevent the risk of rupturing the tumor and spreading cancer cells. This action is crucial to maintain the child's safety and prevent potential complications before surgery.

4. A client has AIDS. Which of these findings indicate possible infection?

Correct answer: Purulent drainage

Rationale:

5. A nurse is providing teaching to an obese client who has gestational diabetes and is at 25 weeks of gestation. Which of the following statements made by the client indicates a need for further teaching?

Correct answer: B

Rationale: The belief that gestational diabetes results in lifelong diabetes is incorrect; it often resolves after pregnancy, though it does indicate a higher risk for developing type 2 diabetes in the future.

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