ATI RN
ATI Maternity Nur230 Questions
Extract:
Infant diagnosed with Tetralogy of Fallot, feeding poorly and has difficulty gaining weight
Question 1 of 5
A nurse is caring for an infant diagnosed with Tetralogy of Fallot. The infant has been feeding poorly and has difficulty gaining weight. What actions should the nurse plan to take? (Select all that apply.)
Correct Answer: B,E
Rationale: Knee-chest positioning improves lung blood flow, and digoxin strengthens heart function, addressing symptoms of Tetralogy of Fallot.
Extract:
Client in prenatal clinic with weight gain concerns
Question 2 of 5
A nurse in a prenatal clinic is attending to a group of clients. Which client's weight gain should the nurse be concerned about?
Correct Answer: A
Rationale: An 18kg weight gain in the first trimester far exceeds the expected 1.8kg, suggesting potential health issues requiring evaluation.
Extract:
Client in labor at 2 cm dilation, 50% effaced, fetus at -2 station
Question 3 of 5
A nurse in the labor and delivery unit is attending to a client in labor. The nurse applies an external fetal monitor and toco transducer. The FHR is around 140/min. Contractions are every 8 min and 30 to 40 seconds in duration. The nurse performs a vaginal exam and finds the cervix is 2 cm dilated, 50% effaced, and the fetus is at a -2 station. Which stage and phase of labor is this client experiencing?
Correct Answer: D
Rationale: The latent phase of the first stage involves mild, irregular contractions, 0-3 cm dilation, and 0-40% effacement, matching these findings.
Extract:
Adolescent with sickle cell disease, pain rated 9/10
Question 4 of 5
A nurse is providing care for an adolescent who was brought to the emergency department (ED) by their guardians due to pain in the left arm that started the previous evening. The adolescent has a history of sickle cell disease diagnosed at age 4. They have a prescription for oral morphine sulfate and took one dose the previous evening at 1800 and another this morning at 0900. The adolescent reports no relief from pain, rating it as 9 on a scale of 0 to 10. For each potential provider's prescription, specify if the prescription is anticipated, nonessential, or contraindicated for the client.
| Intervention | Anticipated | Nonessential | Contraindicated |
|---|---|---|---|
| A. Intravenous fluids (IVF) at maintenance rate | |||
| B. Meperidine IV for pain | |||
| C. Ice packs to the affected area for 15 min on/15 min off | |||
| D. Oxygen 2 L/min via nasal cannula |
Correct Answer: A(Anticipated), B(Contraindicated), C(nonessential), D(Anticipated)
Rationale: IV fluids and oxygen are anticipated to prevent sickling; meperidine is contraindicated due to seizure risk; ice packs are nonessential as they may worsen sickling.
Extract:
Infant's vital signs
Question 5 of 5
A nurse is preparing to measure an infant's vital signs. Which of the following sites should the nurse use to assess the heart rate?
Correct Answer: C
Rationale: The apical pulse at the heart's apex provides the most accurate heart rate assessment in infants.