ATI RN
ATI RN Maternal Newborn 2023/24 1st Attempt & Retake Questions
Extract:
Question 1 of 5
A nurse is reviewing laboratory findings for a client who is at 20 weeks of gestation. Which of the following findings should the nurse report to the provider?
Correct Answer: D
Rationale: The correct answer is D: Fasting blood glucose 180 mg/dL (74 to 106 mg/dL). During pregnancy, there is an increased risk of gestational diabetes, where blood glucose levels may become elevated. A fasting blood glucose level of 180 mg/dL is significantly higher than the normal range of 74 to 106 mg/dL, indicating hyperglycemia. High blood glucose levels can have adverse effects on both the mother and the developing fetus, such as macrosomia (large birth weight), birth complications, and potential long-term health risks.
Therefore, the nurse should report this finding to the provider promptly for further evaluation and management.
Incorrect choices:
A: Hematocrit within the range is normal during pregnancy.
B: Creatinine within the range is normal and indicates normal kidney function.
C: WBC count slightly elevated is common during pregnancy due to physiological changes.
Question 2 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.
Question 3 of 5
A nurse is caring for a client following an amniocentesis at 18 weeks of gestation. Which of the following findings should the nurse report to the provider as a potential complication?
Correct Answer: B
Rationale: The correct answer is B: Leakage of fluid from the vagina. After an amniocentesis, leakage of amniotic fluid from the vagina can indicate a potential complication like premature rupture of membranes. This complication can lead to preterm labor and delivery, endangering both the mother and the fetus. Reporting this finding promptly to the provider allows for timely intervention to prevent further complications. Increased fetal movement , upper abdominal discomfort , and urinary frequency are common and expected after an amniocentesis and do not necessarily indicate a complication.
Question 4 of 5
A nurse is assessing a late preterm newborn. Which of the following manifestations is an indication of hypoglycemia?
Correct Answer: D
Rationale: The correct answer is D: Respiratory distress. Hypoglycemia in a newborn can lead to inadequate glucose supply to the brain, causing respiratory distress due to central nervous system depression. Hypertonia (choice
A) is typically seen in hypocalcemia. Increased feeding (choice
B) may be a compensatory mechanism to address hypoglycemia. Hyperthermia (choice
C) is not a common manifestation of hypoglycemia. It is important to monitor for signs of respiratory distress in a late preterm newborn to promptly address hypoglycemia.
Question 5 of 5
A nurse on an antepartum unit is caring for four clients. Which of the following clients should the nurse identify as the priority?
Correct Answer: B
Rationale: The correct answer is B because the client at 34 weeks with epigastric pain could be experiencing preeclampsia, a serious condition in pregnancy. Preeclampsia can lead to severe complications such as eclampsia, stroke, or HELLP syndrome. The nurse should prioritize this client to assess for signs of preeclampsia, such as high blood pressure, proteinuria, and visual changes.
Choice A is incorrect because while gestational diabetes requires monitoring, the blood glucose level of 120 mg/dL is not critically high.
Choice C is incorrect as the hemoglobin level of 10.4 g/dL is slightly below the normal range but does not pose an immediate threat.
Choice D is incorrect as urinary frequency and dysuria are common in late pregnancy and do not indicate an urgent issue.