ATI RN
ATI RN Maternal Newborn 2023/24 1st Attempt & Retake Questions
Extract:
Question 1 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.
Question 2 of 5
A nurse is discussing fertility treatment options with a client and their partner. Which of the following nonpharmacological treatments should the nurse suggest?
Correct Answer: C
Rationale: The correct answer is C: Maintain a healthy weight. This is crucial for fertility as being underweight or overweight can affect hormone levels and ovulation. Healthy weight promotes overall reproductive health.
Choice A is incorrect as some lubricants can hinder sperm movement.
Choice B has no proven benefit for fertility.
Choice D can actually reduce sperm count due to increased testicular temperature.
Extract:
A nurse is caring for a client who is 48 hr postpartum and has a deep vein thrombosis.
Medical History:
• Gravida 2 Para 2
• Cesarean birth
• Deep vein thrombosis with previous pregnancy
• Preeclampsia
• BMI of 32
Question 3 of 5
A nurse is caring for a client who is 48 hr postpartum and has a deep vein thrombosis.
| Findings 24 hr later | Indication of worsening condition | Indication of improving condition |
|---|---|---|
| Increased warmth in the extremity | ||
| Tachycardia | ||
| Leukocytosis | ||
| Scant lochia rubra | ||
| Decreased extremity edema |
Correct Answer:
Rationale:
Correct Answer:
Rationale:
- Increased warmth in the extremity: Indicates possible worsening of the deep vein thrombosis due to increased blood flow.
- Tachycardia: Indicates worsening circulation and possible pulmonary embolism.
- Leukocytosis: Suggests an inflammatory response to the thrombus, indicating a worsening condition.
- Scant lochia rubra: Not directly related to deep vein thrombosis.
- Decreased extremity edema: Not a relevant indicator for worsening of deep vein thrombosis.
Extract:
Question 4 of 5
A nurse is assessing four newborns. Which of the following findings should the nurse report to the provider?
Correct Answer: B
Rationale: The correct answer is B. Failure to pass meconium stool within 48 hours could indicate a bowel obstruction, so it must be reported to the provider for further evaluation. A: Erythema toxicum is a common benign rash in newborns. C: Pink-tinged urine in a newborn may be due to urate crystals and is considered normal. D: An axillary temperature of 37.7°C is within the normal range for newborns.
Question 5 of 5
A nurse in a prenatal clinic is assessing a group of clients. Which of the following clients should the nurse see first?
Correct Answer: A
Rationale: The correct answer is A. At 11 weeks of gestation, abdominal cramping could be a sign of a potential miscarriage or ectopic pregnancy, which are urgent medical emergencies requiring immediate attention to prevent harm to the client and the fetus. Clients reporting tingling and numbness in the right hand (
B) may have carpal tunnel syndrome, a common discomfort in pregnancy but not as urgent. Constipation (
C) and bloody noses (
D) are common in pregnancy and can be addressed after addressing the more urgent issue of potential miscarriage.