ATI RN
ATI RN Maternal Newborn 2023/24 1st Attempt & Retake Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is at 41 weeks of gestation and has a positive contraction stress test. For which of the following diagnostic tests should the nurse prepare the client?
Correct Answer: C
Rationale: The correct answer is C: Biophysical profile (BPP). At 41 weeks gestation with a positive contraction stress test, the BPP is indicated to assess fetal well-being. BPP evaluates fetal heart rate, fetal movements, fetal tone, amniotic fluid volume, and sometimes a nonstress test. This test provides information on fetal oxygenation and overall health. The other choices are incorrect because:
A) Percutaneous umbilical blood sampling is used to assess fetal blood gases and acid-base balance, typically in cases of suspected fetal compromise.
B) Amnioinfusion involves infusing sterile fluid into the amniotic cavity, usually to correct oligohydramnios.
D) Chorionic villus sampling is a prenatal diagnostic test used to detect genetic abnormalities.
Question 2 of 5
A nurse is assessing a client who is 1 hr postpartum following a vaginal birth. The nurse notes that the client has excessive vaginal bleeding. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: The correct action for the nurse to take first is to massage the client's fundus. This is because excessive vaginal bleeding postpartum could indicate uterine atony, where the uterus fails to contract effectively, leading to hemorrhage. Massaging the fundus helps stimulate uterine contractions, which can help control bleeding. Administering oxytocin (choice
B) can also help with uterine contractions, but massaging the fundus is the initial intervention. Emptying the client's bladder (choice
C) can alleviate pressure on the uterus but is not the priority in this situation. Providing oxygen (choice
D) is not directly related to managing postpartum bleeding.
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 3 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) as they can indicate preterm labor. Fetal heart rate (
B) should be reported to monitor fetal well-being. Vaginal examination (
D) findings are important to assess cervical changes. Gestational age (
C) and maternal blood pressure (E) are routine assessments and do not necessarily require immediate reporting.
Extract:
Question 4 of 5
A nurse is caring for a client who reports spontaneous rupture of membranes. The nurse observes fetal bradycardia on the FHR tracing and notices that the umbilical cord is protruding. After calling for assistance and notifying the provider, which of the following actions should the nurse take next?
Correct Answer: B
Rationale: The correct answer is B: Cover the umbilical cord with a sterile saline-saturated towel. This action is crucial to prevent umbilical cord compression, maintain blood flow to the fetus, and reduce the risk of hypoxia. By covering the umbilical cord with a sterile saline-saturated towel, the nurse can protect the cord from further compression and potential infection. Performing a vaginal examination (choice
A) could worsen the situation by causing more cord compression. Administering oxygen (choice
C) is important but covering the cord takes priority. Initiating IV fluids (choice
D) is not the immediate priority in this emergency situation.
Question 5 of 5
A nurse manager on the labor and delivery unit is teaching a group of newly licensed nurses about maternal cytomegalovirus. Which of the following information should the nurse manager include in the teaching?
Correct Answer: B
Rationale: The correct answer is B: Transmission can occur via the saliva and urine of the newborn. Cytomegalovirus (CMV) can be transmitted through bodily fluids such as saliva, urine, blood, and breast milk. This is important information for nurses to be aware of as they care for newborns who may be infected.
Explanation for other choices:
A: Mothers do not receive prophylactic treatment with acyclovir for CMV, as there is no specific antiviral treatment for this virus.
C: Lesions on the mother's genitalia are not a typical feature of CMV infection.
D: Airborne precautions are not required for CMV as it is primarily transmitted through bodily fluids, not through the air.