ATI RN
ATI Maternal Newborn 2023 Questions
Extract:
A client is due to receive a subcutaneous injection of enoxaparin, 30 mg.
Question 1 of 4
How many mL should the nurse administer if the answer is to be rounded to the nearest tenth?
Correct Answer: B
Rationale: Enoxaparin is commonly available as 100 mg/mL. For 30 mg: 30 mg ÷ 100 mg/mL = 0.3 mL, rounded to the nearest tenth.
Extract:
A nurse is caring for a client in the first stage of labor who is undergoing external fetal monitoring and receiving IV fluids. The nurse observes variable decelerations in the fetal heart rate on the monitor strip.
Question 2 of 4
Which of the following is the correct interpretation of this finding?
Correct Answer: B
Rationale: Variable decelerations are due to umbilical cord compression, causing quick decreases in fetal heart rate that vary with contractions.
Extract:
A nurse in a prenatal clinic is caring for a client. Using Leopold maneuvers, the nurse palpates a round, firm, movable part in the fundus of the uterus and a long, smooth surface on the client's right side.
Question 3 of 4
In which abdominal quadrant should the nurse expect to auscultate fetal heart tones?
Correct Answer: A
Rationale: The right upper quadrant is the correct area to auscultate fetal heart tones when the fetal head is in the fundus and the back is on the client's right side, indicating a cephalic presentation.
Extract:
A nurse in a provider's office is caring for a client who is pregnant.
Question 4 of 4
Which of the following assessment findings should the nurse report to the provider? (Select all that apply)
Correct Answer: D
Rationale: A blood pressure of 179/99 mm Hg indicates potential preeclampsia and should be reported. Other vital signs are within normal ranges for pregnancy.
Extract:
A nurse is attending to a client in active labor and observes late decelerations on the fetal monitor.
Question 5 of 4
What should be the nurse's priority action?
Correct Answer: D
Rationale: Positioning the client on her side is the priority action to improve uteroplacental blood flow and address late decelerations, which indicate uteroplacental insufficiency.