ATI RN
ATI RN Maternal Newborn 2023/24 1st Attempt & Retake Questions
Extract:
Question 1 of 5
A nurse is performing a routine assessment on a client who is at 18 weeks of gestation. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: The correct answer is D: FHR 152/min. At 18 weeks gestation, a normal fetal heart rate (FHR) ranges from 140-170 beats per minute. This finding indicates a healthy fetal heart rate. A: Deep tendon reflexes 4+ is incorrect as it is not related to gestational age assessment. B: Fundal height 14 cm is too small for 18 weeks gestation, typically it is around 16-20 cm. C: Blood pressure 142/94 mm Hg is high for a pregnant woman and may indicate hypertension.
Question 2 of 5
A nurse is performing an initial assessment of a newborn who was delivered with a nuchal cord. Which of the following clinical findings should the nurse expect?
Correct Answer: B
Rationale: The correct answer is B: Facial petechiae. A nuchal cord occurs when the umbilical cord is wrapped around the baby's neck. This can cause pressure on the blood vessels, leading to tiny red or purple spots called petechiae on the baby's face. This is due to the rupture of small blood vessels under the skin. Telangiectatic nevi (choice
A) are unrelated birthmarks. Periauricular papillomas (choice
C) are benign skin-colored growths near the ears. Erythema toxicum (choice
D) is a common rash in newborns not associated with a nuchal cord.
Question 3 of 5
A nurse in a provider’s office is caring for a 20-year-old client who is at 12 weeks of gestation and requests an amniocentesis to determine the sex of the fetus. Which of the following responses should the nurse make?
Correct Answer: B
Rationale: The correct response is B: This procedure determines if your baby has genetic or congenital disorders. The rationale behind this is that amniocentesis is a prenatal test that is used to detect genetic conditions, chromosomal abnormalities, and neural tube defects in the fetus. It is not typically done solely to determine the sex of the baby. A is incorrect because there is no age requirement for amniocentesis. C is incorrect because chorionic villus sampling is a different procedure used to detect genetic abnormalities and is not typically done to determine the sex of the baby. D is incorrect because scheduling the procedure without discussing the risks and benefits with the client first is not appropriate.
Question 4 of 5
A nurse is reviewing the medical record of a newly admitted client who is at 32 weeks of gestation. Which of the following conditions is an indication for fetal assessment using electronic fetal monitoring?
Correct Answer: A
Rationale: The correct answer is A: Oligohydramnios. Electronic fetal monitoring is used to assess the well-being of the fetus during pregnancy. Oligohydramnios, which is a low level of amniotic fluid, can indicate poor fetal perfusion and compromise, necessitating closer monitoring. Hyperemesis gravidarum (
B) is severe morning sickness and does not directly affect fetal well-being. Leukorrhea (
C) is normal vaginal discharge during pregnancy and does not require fetal monitoring. Periodic tingling of the fingers (
D) is unrelated to fetal assessment.
Question 5 of 5
A nurse is caring for a client who is to receive oxytocin to augment their labor. Which of the following findings contraindicates the initiation of the oxytocin infusion and should be reported to the provider?
Correct Answer: A
Rationale: The correct answer is A: Late decelerations. Late decelerations indicate uteroplacental insufficiency, suggesting that the fetus is not receiving enough oxygen. Administering oxytocin in the presence of late decelerations could further compromise fetal oxygenation and lead to fetal distress. It is crucial to report this finding to the provider to ensure the safety of both the mother and the baby.
Choices B, C, and D are incorrect:
B: Moderate variability of the FHR is a reassuring sign indicating a healthy fetal status.
C: Cessation of uterine dilation may signal a potential issue but does not directly contraindicate the initiation of oxytocin.
D: Prolonged active phase of labor may necessitate oxytocin augmentation but does not contraindicate its initiation.