ATI RN
ATI Maternal Newborn 2023 Questions
Extract:
A client is due to receive a subcutaneous injection of enoxaparin, 30 mg.
Question 1 of 5
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 term macrosomic newborn whose mother has poorly controlled type 2 diabetes. The newborn has respiratory distress syndrome.
Question 2 of 5
The nurse should be aware that the most likely cause of the respiratory distress is which of the following?
Correct Answer: D
Rationale: Hyperinsulinemia, or high levels of insulin in the blood, is the most likely cause of respiratory distress in this case. High maternal glucose levels lead to fetal hyperinsulinemia, which can impair surfactant production, contributing to respiratory distress syndrome.
Extract:
A nurse is caring for a client who is at 22 weeks of gestation and has been unable to control her gestational diabetes mellitus with diet and exercise.
Question 3 of 5
Which of the following medications should the nurse anticipate a prescription from the provider for the client?
Correct Answer: B
Rationale: Insulin is the most common medication used to control blood sugar levels in pregnant women, especially those unable to control their gestational diabetes with diet and exercise. Oral medications like repaglinide, glipizide, and acarbose are not typically used in pregnancy due to potential fetal risks.
Extract:
A nurse is attending to a client in active labor and observes late decelerations on the fetal monitor.
Question 4 of 5
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.
Extract:
A nurse has received an order to administer Morphine 5mg IV once immediately. The available concentration is 2.5 mg/mL.
Question 5 of 5
How many mL of morphine should the nurse prepare for administration?
Correct Answer: C
Rationale:
To calculate: 5 mg ÷ 2.5 mg/mL = 2 mL.
Therefore, the nurse should prepare 2 mL of morphine for administration.