ATI RN
ATI Maternal Newborn 2023 Questions
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 1 of 5
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 2 of 5
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 3 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 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 4 of 5
Which of the following medications should the nurse anticipate a prescription from the provider for the client?
Correct Answer: B
Rationale: The correct answer is B: Insulin. Insulin is essential for clients with diabetes who have high blood sugar levels and need to regulate their glucose levels. Repaglinide, Glipizide, and Acarbose are oral antidiabetic medications that work differently from insulin and may not be suitable for clients requiring immediate control over blood sugar levels. Insulin is the most direct and effective way to lower blood sugar levels quickly in emergencies.
Extract:
The nurse caring for the pregnant patient understands that which hormone is essential for maintaining pregnancy?
Question 5 of 5
Which hormone is essential for maintaining pregnancy?
Correct Answer: D
Rationale: The correct answer is D: Progesterone. Progesterone is essential for maintaining pregnancy as it helps prepare the uterus for implantation and supports the growth of the placenta. It also inhibits contractions of the uterine muscles, preventing premature labor. Estrogen (
A) plays a role in preparing the uterus for pregnancy, but progesterone is crucial for maintaining it. Oxytocin (
B) stimulates uterine contractions during labor, not for maintaining pregnancy. Human chorionic gonadotropin (hCG) (
C) is produced during pregnancy but its main function is to support the corpus luteum in the early stages, not to maintain pregnancy.