ATI RN
ATI Maternal NewBorn Proctored Exam 2023 with NGN All 70 Questions With Answers Questions
Extract:
Question 1 of 5
A nurse is performing a routine assessment on a client who is at 18 weeks of gestation. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: The correct answer is D: FHR 152/min. At 18 weeks gestation, a normal fetal heart rate (FHR) ranges from 120-160/min. This is indicative of a healthy fetus. A: Deep tendon reflexes 4+ is not a typical finding during a routine assessment in pregnancy. B: Fundal height of 14 cm is more consistent with around 12-13 weeks gestation, not 18 weeks. C: Blood pressure of 142/94 mm Hg is elevated and may indicate hypertension, which is not expected at this stage of pregnancy.
Question 2 of 5
A nurse is caring for a client who becomes unresponsive upon delivery of the placenta. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: The correct answer is A: Determine respiratory function. This is the priority because an unresponsive client may be experiencing respiratory distress, which can quickly lead to hypoxia and cardiac arrest. Assessing respiratory function allows the nurse to intervene promptly if needed. Increasing IV fluid rate (
B) is important but not the first priority. Accessing emergency medications (
C) may be necessary, but addressing respiratory status comes first. Collecting a blood sample for coagulopathy studies (
D) is important for assessing bleeding disorders but is not the immediate priority in this situation.
Question 3 of 5
A nurse is caring for a client who has hyperemesis gravidarum and is receiving IV fluid replacement. Which of the following findings should the nurse report to the provider?
Correct Answer: C
Rationale: The correct answer is C: Urine output of 280 mL within 8 hr. In hyperemesis gravidarum, decreased urine output can indicate dehydration, a serious complication. The nurse should report this finding to the provider to ensure prompt intervention. A: Blood pressure 105/64 mm Hg is within normal range for pregnancy. B: Heart rate 98/min may be slightly elevated but not concerning. D: Urine negative for ketones is expected with IV fluid replacement.
Question 4 of 5
A nurse is assessing four newborns. Which of the following findings should the nurse report to the provider?
Correct Answer: B
Rationale: The correct answer is B. A newborn who is 32 hr old and has not passed a meconium stool should be reported to the provider. Meconium should be passed within the first 24-48 hours of life, so the delay could indicate an obstruction or other issue.
Choices A, C, and D are all within normal ranges for newborn assessments and do not require immediate reporting to the provider. E, F, and G are not provided as options.
Question 5 of 5
A nurse is reviewing the medical record of a newly admitted client who is at 32 weeks of gestation. Which of the following conditions is an indication for fetal assessment using electronic fetal monitoring?
Correct Answer: A
Rationale: The correct answer is A: Oligohydramnios. Electronic fetal monitoring is used to assess the well-being of the fetus during pregnancy, labor, and delivery. Oligohydramnios refers to a low level of amniotic fluid, which can indicate fetal distress or compromise. Monitoring the fetal heart rate patterns using electronic fetal monitoring in this case can help detect any abnormalities and guide appropriate interventions to optimize fetal outcomes.
Incorrect choices:
B: Hyperemesis gravidarum - This is severe nausea and vomiting in pregnancy, not a direct indication for fetal monitoring.
C: Leukorrhea - This is a common vaginal discharge in pregnancy, not a direct indication for fetal monitoring.
D: Periodic tingling of the fingers - This is not related to fetal assessment and is more likely a symptom of a different issue, such as nerve compression.