ATI RN
ATI Maternal Newborn 2023 Questions
Extract:
A patient is in preterm labor at 30 weeks gestation. Her OB orders antenatal steroids. The order is for the nurse to administer betamethasone IM and to repeat the dose after 2 hours. Betamethasone is available as 4mg/mL in 10 mL vials.
Question 1 of 5
How many mL will the nurse draw up in the syringe for each dose?
Correct Answer: D
Rationale: Standard betamethasone dose for preterm labor is 12 mg. 12 mg ÷ 4 mg/mL = 3 mL per dose.
Extract:
A nurse is monitoring a patient who is receiving magnesium sulfate to manage pre-eclampsia.
Question 2 of 5
Which of the following observations should the nurse report to the healthcare provider?
Correct Answer: D
Rationale: A urinary output of 40 mL in 2 hours is less than the normal range (at least 30 mL/hour). This could indicate kidney dysfunction, a serious complication of pre-eclampsia, and should be reported.
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 3 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: The correct answer is D: Hyperinsulinemia. Respiratory distress can be a symptom of hyperinsulinemia due to its association with conditions like diabetic ketoacidosis or hyperglycemic hyperosmolar state. High insulin levels can lead to respiratory alkalosis, causing rapid, shallow breathing. Increased fat deposits (choice
A) primarily affect mobility and not directly respiratory function. Brachial plexus injury (choice
B) would not typically cause respiratory distress. Increased blood viscosity (choice
C) could lead to cardiovascular issues but not directly impact respiratory function. In summary, hyperinsulinemia is the most likely cause of respiratory distress as it can directly affect breathing patterns.
Extract:
A nurse is caring for a client who is at 36 weeks of gestation and suspected of having placenta previa.
Question 4 of 5
Which of the following symptoms would support this diagnosis?
Correct Answer: D
Rationale: Painless red vaginal bleeding is a classic symptom of placenta previa, where the placenta covers the cervix, typically occurring in the third trimester.
Extract:
A nurse is caring for a patient who is in labor at 40 weeks of gestation and reports that she has saturated two perineal pads in the past 30 minutes. The nurse suspects placenta previa.
Question 5 of 5
What would be an appropriate nursing action in this situation?
Correct Answer: C
Rationale: Preparing for a cesarean birth is appropriate for suspected placenta previa, as significant bleeding indicates the need for surgical delivery to ensure maternal and fetal safety.