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.
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 to measure the fundal height of a client who is at 22 weeks of gestation.
Question 2 of 5
At which location should the nurse expect to palpate the fundus?
Correct Answer: D
Rationale: The correct answer is D, slightly above the umbilicus. This is the expected location to palpate the fundus immediately after childbirth. Fundal height corresponds with the number of weeks postpartum, so it should be around the level of the umbilicus within 12 hours postpartum and gradually decrease over the following days. Option A is too high for immediate postpartum, and option B is too low. Option C is incorrect as it suggests the fundus is below the umbilicus, which is not expected.
Extract:
A nurse midwife is examining a patient who is at 42 weeks of gestation and believes she is in labor.
Question 3 of 5
Which of the following findings would confirm to the nurse that the patient is in labor?
Correct Answer: B
Rationale: Cervical dilation is a key sign that a patient is in labor, as it indicates the cervix is opening to allow the baby to pass through the birth canal.
Extract:
A woman's obstetric history indicates that she is pregnant for the fourth time and all of her children from previous pregnancies are living. One was born at 39 weeks of gestation, twins were born at 34 weeks of gestation, and another child was born at 35 weeks of gestation.
Question 4 of 5
What is her gravidity and parity using the GTPAL System?
Correct Answer: A
Rationale: G4 (4 pregnancies), T1 (1 term birth at 39 weeks), P2 (2 preterm births: twins at 34 weeks, 1 at 35 weeks), A0 (no abortions), L3 (3 living children from previous pregnancies).
Extract:
A nurse is leading a discussion about contraception with a group of 14-year-old clients. After the presentation, a client asks the nurse which method would be best for her to use.
Question 5 of 5
Which of the following responses should the nurse make?
Correct Answer: A
Rationale:
Correct Answer: A
Rationale:
1. A: This response acknowledges the need for a physical examination by a healthcare provider, ensuring appropriate assessment and care.
2. B: Asking about sexual activity before addressing the immediate concern may be intrusive and irrelevant.
3. C: Commenting on age is not helpful and may come across as judgmental or dismissive.
4. D: This response is presumptive and may not address the immediate need for medical attention.
5. E-G: Irrelevant options as they are not provided.
Summary:
Answer A is correct because it emphasizes the importance of seeking help from a healthcare provider for proper evaluation and care. Other choices are incorrect as they either miss the point, are judgmental, or are presumptive.