ATI RN
ATI Maternal Newborn 2023 Questions
Extract:
A nurse is preparing to measure the fundal height of a client who is at 22 weeks of gestation.
Question 1 of 5
At which location should the nurse expect to palpate the fundus?
Correct Answer: D
Rationale: The correct answer is D, slightly above the umbilicus. This is the expected location to palpate the fundus immediately after childbirth. Fundal height corresponds with the number of weeks postpartum, so it should be around the level of the umbilicus within 12 hours postpartum and gradually decrease over the following days. Option A is too high for immediate postpartum, and option B is too low. Option C is incorrect as it suggests the fundus is below the umbilicus, which is not expected.
Extract:
A nurse is leading a discussion about contraception with a group of 14-year-old clients. After the presentation, a client asks the nurse which method would be best for her to use.
Question 2 of 5
Which of the following responses should the nurse make?
Correct Answer: A
Rationale:
Correct
Answer: A
Rationale:
1. A: This response acknowledges the need for a physical examination by a healthcare provider, ensuring appropriate assessment and care.
2. B: Asking about sexual activity before addressing the immediate concern may be intrusive and irrelevant.
3. C: Commenting on age is not helpful and may come across as judgmental or dismissive.
4. D: This response is presumptive and may not address the immediate need for medical attention.
5. E-G: Irrelevant options as they are not provided.
Summary:
Answer A is correct because it emphasizes the importance of seeking help from a healthcare provider for proper evaluation and care. Other choices are incorrect as they either miss the point, are judgmental, or are presumptive.
Extract:
A nurse is caring for a client who is in labor and has an external fetal monitor. The nurse observes late decelerations on the monitor strip.
Question 3 of 5
The nurse observes late decelerations on the monitor strip and interprets them as indicating which of the following?
Correct Answer: C
Rationale: The correct answer is C: Uteroplacental insufficiency. Late decelerations are a sign of inadequate oxygen supply to the fetus due to decreased blood flow through the placenta during contractions. This is often caused by uteroplacental insufficiency, where the placenta is not functioning optimally to supply the fetus with oxygen and nutrients. Other choices are incorrect because fetal head compression (
A) and umbilical cord compression (
B) typically result in variable decelerations, maternal bradycardia (
D) would not directly affect fetal heart rate patterns.
Extract:
A nurse is caring for a client who is in the second stage of labor. The nurse observes retraction of the fetal head against the maternal perineum as the head is birthed.
Question 4 of 5
Which condition is the client most likely experiencing?
Correct Answer: A
Rationale: The client is most likely experiencing shoulder dystocia. This is because shoulder dystocia occurs when the baby's shoulder gets stuck during delivery, which can lead to complications such as fetal distress and difficulty delivering the baby. Breech presentation, placenta previa, and uterine rupture are different conditions that do not involve the baby's shoulder being stuck. In breech presentation, the baby is positioned feet or buttocks first. Placenta previa is when the placenta partially or completely covers the cervix. Uterine rupture is a tear in the uterus. Each of these conditions presents with distinct symptoms and risks, none of which involve the baby's shoulder being stuck during delivery.
Extract:
A nurse is caring for a client who is in active labor and notes late decelerations in the FHR.
Question 5 of 5
Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: The correct action for the nurse to take first is to change the client's position (
Choice
A). This is important for assessing the client's condition, promoting comfort, and preventing complications such as pressure ulcers. Changing the client's position allows for better circulation and can help in improving respiratory function. This initial intervention is crucial in maintaining the client's overall well-being. Applying a fetal scalp electrode (
Choice
B) is not the priority unless indicated for fetal monitoring. Administering oxygen at a high flow rate (
Choice
C) is important but should come after addressing the client's positioning. Increasing the IV infusion rate (
Choice
D) may be necessary but should be done after the client's position is assessed and adjusted.