ATI RN
ATI Maternal Newborn 2023 Questions
Extract:
A nurse in a hospital is caring for a client who is at 38 weeks of gestation and has a large amount of painless, bright red vaginal bleeding. The client's vital signs are: blood pressure 98/52 mm Hg, heart rate 118/min, respiratory rate 24/min, and temperature 36.4 C (97.6° F). The client is placed on a fetal monitor indicating a regular fetal heart rate of 138/min and no uterine contractions.
Question 1 of 5
What is the priority nursing action?
Correct Answer: B
Rationale: Initiating IV access is the priority to allow rapid administration of fluids and medications to stabilize the client's condition, likely due to placenta previa causing significant bleeding.
Extract:
A nurse is attending to a first-time pregnant woman who is at term. She is experiencing contractions but is unsure if she is in labor.
Question 2 of 5
Which of the following should the nurse identify as a labor sign?
Correct Answer: D
Rationale: The correct answer is D: Changes in the cervix. This is a key labor sign as the cervix undergoes changes such as effacement and dilation during labor. Monitoring cervical changes helps assess progress and readiness for delivery. The other options are not specific labor signs: A relates to fetal position, B to rupture of membranes, and C to contraction pattern, which can occur before true labor starts. The focus should be on cervical changes as a reliable indicator of labor onset.
Extract:
A nurse is caring for a client who is scheduled for a maternal serum alpha-fetoprotein test at 15 weeks of gestation.
Question 3 of 5
Which of the following explanations about this test should the nurse provide to the client?
Correct Answer: A
Rationale: The correct answer is A because the given test is likely referring to the maternal serum alpha-fetoprotein (MSAFP) screening test. This test is commonly used to screen for neural tube defects and other spinal abnormalities in the fetus. The other choices are incorrect because B is usually assessed through tests like lecithin/sphingomyelin ratio, C is typically identified through Rh factor testing, and D is evaluated through tests like non-stress test or biophysical profile.
Therefore, the most appropriate explanation to provide to the client is that the test is a screening test for spinal defects in the fetus.
Extract:
As a nurse in an antepartum unit performing triage, which client should be prioritized?
Question 4 of 5
Which client should be prioritized?
Correct Answer: B
Rationale: A client at 28 weeks of gestation reporting painless vaginal bleeding could be experiencing placenta previa or placental abruption, both obstetric emergencies requiring immediate evaluation.
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 5 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.