ATI RN
Maternal Newborn Proctored ATI Questions
Question 1 of 5
A Nurse is caring for a client who is 36 weeks9 gestation and who has suspected placenta previa. Which of the following findings support this diagnosis? Intermitted abdominal pain following the passage Abdominal pain with scant red vaginal bleeding Increasing abdominal pain with non-relaxed Painless red vaginal bleeding Dosage 200 A women at 36 weeks of gestation is placed in a supine position for an ultrasound. She begins to complain about feeling dizzy and nauseated. Her skin feels damp and cool. what would be the nurse9s first action? Obtain vital signs Provide the woman with emesis basin Turn the woman on her side Assess the woman9s respiratory rate and effort The nurse explains to a newly diagnosed pregnant woman at 10 weeks9 gestation that her rubella titer indicates that she is not immune. What is the best response by the nurse? Avoid contact with all children during the pregnancy You should receive the rubella vaccine immediately Obtain a repeat tilter in 3 months You will receive the rubella vaccine during the postpartumperiod The clinic nurse explains to Margaret, a newly diagnosed pregnant woman at 10 weeks' gestation, that her rubella titer indicates that she is not immune. Margaret should be advised to (select all that apply): Select one or more:
Correct Answer: C
Rationale: The functions of the placenta primarily include nutrient transfer, hormone production, respiratory gas transfer, and waste elimination. The placenta does not have a role in urine formation. Urine formation is a function of the kidneys in the mother, and it is not directly related to the placenta's functions.
Question 2 of 5
A nurse is caring for a client who experienced a vaginal delivery 12 hr ago. When palpating the client's abdomen, at which of the following positions should the nurse expect to find the uterine fundus?
Correct Answer: C
Rationale: After a vaginal delivery, the uterus typically undergoes involution, which is the process of the uterus returning to its pre-pregnancy size and position. At 12 hours postpartum, the uterine fundus should be palpated approximately one fingerbreadth above the symphysis pubis. This position indicates proper contraction of the uterus and helps prevent postpartum hemorrhage. As time progresses, the uterine fundus will gradually descend back into the pelvis.
Question 3 of 5
A nurse on the labor and delivery unit is caring for a patient who is having induction of labor with oxytocin administered through a secondary IV line. Uterine contractions occur every 2 min, last 90 sec, and are strong to palpation. The baseline fetal heart rate is 150/min, with uniform decelerations beginning at the peak of the contraction and a return to baseline after the contraction is over. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The described scenario suggests the presence of late decelerations, which occur when uteroplacental insufficiency leads to decreased fetal oxygenation. In this case, the late decelerations are evident with each contraction, indicating a potential adverse reaction to the oxytocin infusion. The appropriate action would be to discontinue the infusion of IV oxytocin to prevent further compromise to fetal well-being. Alternatively, the nurse should consider repositioning the mother, administering oxygen via a face mask, and notifying the healthcare provider for further assessment and interventions.
Question 4 of 5
A male infant delivered at 28 weeks gestation weighs 2 pounds, 12 ounces. When performing an assessment, the nurse would probably observe:
Correct Answer: B
Rationale: A male infant delivered at 28 weeks gestation, as described, would likely have very underdeveloped skin due to the premature birth. The premature skin is often transparent, allowing the prominent blood vessels underneath to be visible, and may also have a reddish hue due to the skin's immaturity. This characteristic appearance is a common finding in premature infants and is a result of their skin being thinner and more fragile than that of full-term infants. The other options, such as a wide, staring eye, an absence of lanugo, and a scrotum with descended testicles, are not specifically associated with premature birth and are not likely to be observed in this scenario.
Question 5 of 5
The pediatric nurse is being pulled to the nursery for the day. The census is six neonates. Which 3 neonates are the best client care assignment for the pediatric nurse?? Select all that apply:
Correct Answer: A
Rationale: - A. An 18-hour post-term, breast-fed neonate with jaundice would be a good assignment for the pediatric nurse because a neonate with jaundice requires close monitoring of bilirubin levels and feeding patterns. Breastfeeding can also affect jaundice levels, so the nurse can provide education and support to ensure successful breastfeeding and manage jaundice effectively.