ATI RN
ATI RN Maternal Newborn Updated 2023 Questions
Extract:
A client who is in labor.
Question 1 of 5
The nurse observes late decelerations of the fetal heart rate on the external fetal monitor. After placing the client in a side-lying position, which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Administer oxygen via a face mask. Late decelerations indicate uteroplacental insufficiency, causing fetal hypoxia. Administering oxygen improves oxygenation to the fetus by increasing maternal oxygen levels. Placing the client in a side-lying position helps improve uteroplacental perfusion. Decreasing IV fluids may further compromise perfusion. Fetal scalp stimulation is used for non-reassuring fetal heart rate patterns, not specifically for late decelerations. Elevating the client's head does not directly address the fetal distress.
Extract:
A client who is at 35 weeks of gestation.
Question 2 of 5
Which of the following findings should indicate to the nurse the need for further diagnostic testing?
Correct Answer: C
Rationale: The correct answer is C. The reason further testing is needed when there are three fetal movements perceived by the client in a 20-minute period is that fetal movement assessment is crucial for assessing fetal well-being. A decrease or absence of fetal movements can indicate fetal distress, prompting the need for further evaluation to ensure the well-being of the fetus. In contrast, options A, B, and D describe normal or reassuring findings within the parameters of fetal heart rate monitoring and contractions, indicating fetal well-being. Option A shows a reassuring acceleration in fetal heart rate, option B indicates absence of late decelerations, and option D describes contractions that are not concerning if not felt by the client.
Extract:
A newborn who is 2 hr old.
Question 3 of 5
Which of the following findings is an indication of hypoglycemia? (Select all that apply.)
Correct Answer: B,D,E
Rationale: The correct indications of hypoglycemia are jitteriness (
B), hypotonia (
D), and temperature instability (E). Jitteriness is a common sign of low blood sugar levels. Hypotonia refers to decreased muscle tone, often seen in infants with hypoglycemia. Temperature instability can occur due to the body's inability to regulate temperature when glucose levels are low. Abdominal distention (
A) and acrocyanosis (
C) are not typical signs of hypoglycemia and are more likely associated with other conditions.
Extract:
A client who is in labor and has received epidural analgesia.
Question 4 of 5
Which of the following findings should the nurse recognize and document as an adverse effect of epidural analgesia?
Correct Answer: A
Rationale: The correct answer is A: Hypotension. This is a known adverse effect of epidural analgesia due to sympathetic blockade leading to vasodilation. It can cause decreased blood pressure and compromise perfusion. Polyuria is not a typical effect of epidural analgesia. Fetal heart rate and maternal temperature are not directly related to the adverse effects of epidural analgesia.
Extract:
A client who is pregnant and whose last menstrual cycle started June 21.
Question 5 of 5
Which of the following is the estimated date of delivery in the next year?
Correct Answer: A
Rationale: The estimated date of delivery in the next year can be determined by looking for the last day of March, which is 31st. Since 28-Mar is the closest to the end of March, it is the correct answer.
Choice B, 21-Mar, is too early in March.
Choice C, 4-Apr, is in April.
Choice D, 14-Mar, is also too early in March.
Choices E, F, and G are not provided.