ATI RN
ATI Maternal Newborn 2023 Questions
Extract:
1. 08:00 - Client reported feeling pressure in the pelvic area. 2. 10:00 - Observed retraction of the fetal head against the maternal perineum. 3. 12:00 - Client reported increased discomfort; breathing exercises initiated. 4. 14:00 - Client's contractions have become more frequent and intense. Diagnostic Results: 1. Ultrasound: Healthy fetus in cephalic presentation. 2. Blood Test: Hemoglobin levels within normal range. 3. Urinalysis: No signs of infection or preeclampsia. 4. Fetal Heart Rate: Consistent with labor progression. Medical History: 1. First pregnancy, no complications. 2. No history of chronic illnesses. 3. No history of surgeries. 4. No known allergies. Vital Signs: 1. 08:00 - BP: 120/80, HR: 80 bpm, Temp: 98.6°F 2. 10:00 - BP: 122/82, HR: 82 bpm, Temp: 98.7°F 3. 12:00 - BP: 124/84, HR: 84 bpm, Temp: 98.8°F 4. 14:00 - BP: 126/86, HR: 86 bpm, Temp: 98.9°F Provider's Prescriptions: 1. Regular monitoring of vital signs. 2. Pain management as needed. 3. Encourage mobility as tolerated. 4. Regular monitoring of fetal heart rate. Physical Examination Results: 1. Cervix fully dilated. 2. Fetus in cephalic presentation. 3. Membranes ruptured. 4. Contractions regular and progressing. A 28-year-old female client is in the second stage of labor in the maternity ward.
Question 1 of 5
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. Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, two actions the nurse should take to address that condition, and two parameters the nurse should monitor to assess the client’s progress.
Action to Take
Potential Condition
Parameter to Monitor
Correct Answer:
Rationale: Action to Take: Encourage the client to push during contractions, Prepare for immediate delivery; Potential Condition: Prolonged labor; Parameter to Monitor: Frequency of contractions, Fetal heart rate.
Rationale:
1. Encouraging the client to push during contractions helps progress labor.
2. Preparing for immediate delivery is necessary in case of prolonged labor to prevent complications.
3. Retraction of the fetal head indicates prolonged labor, as the head should not retract back once descended.
4. Monitoring the frequency of contractions helps assess the progress of labor.
5. Monitoring the fetal heart rate is crucial to ensure the baby's well-being during labor.
Incorrect
Choices:
- Administering pain medication is not appropriate for retraction of the fetal head.
- Encouraging pushing without addressing the underlying cause of prolonged labor can be detrimental.
- Monitoring the client's blood pressure and temperature are not directly related to the observed condition.
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 2 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.
Extract:
A nurse is caring for a newborn who has macrosomia and whose mother has diabetes mellitus.
Question 3 of 5
Which of the following newborn complications should the nurse recognize as the priority focus of care?
Correct Answer: D
Rationale: The correct answer is D: Hypoglycemia. This is the priority focus of care in newborns as low blood sugar can lead to serious complications such as seizures and brain damage. Immediate intervention is crucial to prevent long-term harm. Hypomagnesemia, hyperbilirubinemia, and hypocalcemia are important to monitor but are not as urgent as hypoglycemia in newborns. Hypoglycemia requires immediate attention to prevent adverse outcomes, making it the priority over the other choices.
Extract:
A nurse is assessing a client who is pregnant for preeclampsia.
Question 4 of 5
Which of the following findings should indicate to the nurse that the client requires further evaluation for this disorder?
Correct Answer: B
Rationale: The correct answer is B: Elevated blood pressure. This finding should indicate to the nurse that the client requires further evaluation for the disorder because it could be a sign of a serious health condition such as hypertension, which needs prompt assessment and management to prevent complications. Vaginal discharge (
A) could indicate an infection but does not necessarily relate to the specific disorder in question. Joint pain (
C) may be indicative of other conditions like arthritis. Increased urine output (
D) could be related to different factors such as increased fluid intake or diabetes, but not necessarily specific to the disorder being evaluated.
Extract:
A nurse is caring for a client who is scheduled for a maternal serum alpha-fetoprotein test at 15 weeks of gestation.
Question 5 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.