ATI RN
ATI Maternal Newborn 2023 Questions
Extract:
A nurse is caring for a client who is in the second stage of labor. The nurse observes retraction of the fetal head against the maternal perineum as the head is birthed.
Question 1 of 5
Which condition is the client most likely experiencing?
Correct Answer: A
Rationale: The client is most likely experiencing shoulder dystocia. This is because shoulder dystocia occurs when the baby's shoulder gets stuck during delivery, which can lead to complications such as fetal distress and difficulty delivering the baby. Breech presentation, placenta previa, and uterine rupture are different conditions that do not involve the baby's shoulder being stuck. In breech presentation, the baby is positioned feet or buttocks first. Placenta previa is when the placenta partially or completely covers the cervix. Uterine rupture is a tear in the uterus. Each of these conditions presents with distinct symptoms and risks, none of which involve the baby's shoulder being stuck during delivery.
Extract:
A nurse is caring for a client who is 34 weeks pregnant.
Question 2 of 5
The nurse should take which of the following actions to address the condition the client is most likely experiencing?
Correct Answer: A
Rationale: The correct action is to implement seizure precautions (choice
A) because the client is most likely experiencing a condition that predisposes them to seizures. Seizure precautions aim to prevent injury during a seizure episode. Checking deep tendon reflexes (choice
B) every hour is not the priority in this situation as it does not directly address the potential for seizures. Administering methyldopa (choice
C) is not appropriate without further assessment. Monitoring neurologic status (choice
D) is important but does not directly address preventing seizures.
Extract:
Three hours post cesarean section, the physician orders Toradol 30 mg IM every 6 hours for pain. Toradol is available in 60 mg/mL.
Question 3 of 5
How many mLs should be drawn up?
Correct Answer: A
Rationale: 30 mg ÷ 60 mg/mL = 0.5 mL. The nurse should draw up 0.5 mL of
Toradol.
Extract:
50 grams of Magnesium sulfate is added to 1L of Lactated Ringers. After giving an initial loading dose, the nurse is to infuse a maintenance dose of 2 gm/hr.
Question 4 of 5
What rate should the IV pump be set at?
Correct Answer: D
Rationale: Concentration: 50 g/1000 mL = 0.05 g/mL = 50 mg/mL. For 2 g/hr (2000 mg/hr): 2000 mg/hr ÷ 50 mg/mL = 40 mL/hr.
Extract:
A nurse is preparing an in-service program about preventing medication errors when transcribing a prescription. The nurse is using a dosage example of two tenths of a milligram.
Question 5 of 5
Which of the following examples should the nurse use to show appropriate transcription of this dosage?
Correct Answer: A
Rationale: The correct answer is A: 0.2 mg. This format is the most appropriate for dosage transcription as it clearly indicates the decimal point. B: 0.20 mg is redundant since the zero after the decimal does not add any value. C: 20 mg is incorrect as it represents a different dosage amount. D: 2 mg is also incorrect as it is not the same dosage as the one provided. The key is to accurately represent the dosage with the appropriate decimal place, making A the correct choice.