ATI RN
ATI Maternity Nur230 Questions
Extract:
Newborn with an apical heart rate of 130/min
Question 1 of 5
A nurse is caring for a newborn and hears an apical heart rate of 130/min. What should the nurse do next?
Correct Answer: A
Rationale: A heart rate of 130/min is within the normal range (120-160 bpm) for a newborn, requiring only documentation.
Extract:
Pregnant client
Question 2 of 5
A nurse is caring for a pregnant client and reviewing signs of complications that should be promptly reported to the provider. Which of the following should be included?
Correct Answer: A
Rationale: Vaginal bleeding during pregnancy can indicate serious complications like placenta previa or placental abruption, requiring immediate reporting to the healthcare provider.
Extract:
Infant diagnosed with Tetralogy of Fallot
Question 3 of 5
Can you identify the structural anomalies that make up Tetralogy of Fallot?
Correct Answer: A
Rationale: Tetralogy of Fallot includes pulmonic stenosis, ventricular septal defect, overriding aorta, and right ventricular hypertrophy.
Extract:
Child with suspected acute rheumatic fever
Question 4 of 5
A nurse is obtaining a health history from a child who has suspected acute rheumatic fever. Which of the following questions should the nurse ask?
Correct Answer: A
Rationale: A recent sore throat may indicate a streptococcal infection, a common precursor to acute rheumatic fever.
Extract:
Client with severe preeclampsia receiving magnesium sulfate IV
Question 5 of 5
A nurse is administering magnesium sulfate IV to a client with severe preeclampsia for seizure prophylaxis. Which of the following are indications of magnesium sulfate toxicity? (Select all that apply.)
Correct Answer: A,B,C,D
Rationale: Magnesium sulfate toxicity can cause flushing, decreased consciousness, low urinary output, and respiratory depression, requiring immediate intervention.