ATI RN
ATI Maternal NewBorn Proctored Exam 2023 with NGN All 70 Questions With Answers Questions
Extract:
Question 1 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 2 of 5
A nurse is teaching a client who is at 35 weeks of gestation about manifestations of potential pregnancy complications to report to the provider. Which of the following manifestations should the nurse include?
Correct Answer: C
Rationale: The correct answer is C: Headache that is unrelieved by analgesia. This symptom could indicate preeclampsia, a serious pregnancy complication characterized by high blood pressure and organ damage. Prompt reporting is crucial to prevent complications. Shortness of breath (
A) and swelling of feet and ankles (
B) are common in pregnancy but not necessarily indicative of a serious complication. Braxton Hicks contractions (
D) are normal and not usually a cause for concern.
Question 3 of 5
A nurse is planning care for a client who is in labor and is requesting epidural anesthesia for pain control. Which of the following actions should the nurse include in the plan of care?
Correct Answer: C
Rationale:
Correct Answer: C. Monitor the client's blood pressure every 5 minutes following the first dose of anesthetic solution.
Rationale: Continuous monitoring of the client's blood pressure is crucial after administering epidural anesthesia to detect any potential hypotension, a common side effect. By monitoring every 5 minutes, the nurse can promptly intervene if hypotension occurs, preventing maternal and fetal compromise.
Summary of other choices:
A: Placing the client in a supine position can lead to hypotension due to inferior vena cava compression. Incorrect.
B: Administering dextrose solution is unrelated to epidural anesthesia and not indicated for pain control. Incorrect.
D: NPO status is not directly related to epidural anesthesia administration. Incorrect.
Question 4 of 5
A nurse is assessing a newborn 12 hr after birth. Which of the following manifestations should the nurse report to the provider?
Correct Answer: C
Rationale: The correct answer is C: Jaundice. Jaundice in a newborn within the first 24 hours may indicate pathological conditions such as hemolytic disease or liver dysfunction. It requires immediate evaluation and treatment. Acrocyanosis (
A) is a common finding in newborns due to immature circulation. Transient strabismus (
B) is often seen in newborns and typically resolves on its own. Caput succedaneum (
D) is swelling on the newborn's scalp from pressure during birth, which is a normal finding.
Extract:
A nurse is caring for a client who is pregnant in an antepartum clinic.
Vital Signs
0900:
Temperature 36.6°C (97.9°F)
Heart rate 88/min
Respiratory rate 18/min
Blood pressure 130/70 mm Hg
Oxygen saturation 97% on room air
1000:
Heart rate 76/min
Respiratory rate 20/min
Blood pressure 138/68 mm Hg
Oxygen saturation 98% on room air
Question 5 of 5
Which of the following findings should the nurse report to the provider?Select the 3 findings that should be reported.
Correct Answer: A,B,D
Rationale: The nurse should report uterine contractions (
A) to monitor for preterm labor, fetal heart rate (
B) to assess fetal well-being, and vaginal examination (
D) to evaluate cervical changes. Gestational age (
C) is typically known and doesn't require immediate reporting. Maternal blood pressure (E) is important but not a priority in this context.