ATI RN
ATI Maternal Newborn 2023 Questions
Extract:
A nurse is caring for a client who is in labor and has an external fetal monitor. The nurse observes late decelerations on the monitor strip.
Question 1 of 5
The nurse observes late decelerations on the monitor strip and interprets them as indicating which of the following?
Correct Answer: C
Rationale: Late decelerations on the monitor strip during labor are indicative of uteroplacental insufficiency. This condition means that the placenta is not providing enough oxygen to the fetus.
Extract:
50 grams of Magnesium sulfate is added to 1L of Lactated Ringers. After giving an initial loading dose, the nurse is to infuse a maintenance dose of 2 gm/hr.
Question 2 of 5
What rate should the IV pump be set at?
Correct Answer: D
Rationale: Concentration: 50 g/1000 mL = 0.05 g/mL = 50 mg/mL. For 2 g/hr (2000 mg/hr): 2000 mg/hr ÷ 50 mg/mL = 40 mL/hr.
Extract:
A nurse in a healthcare provider's office is caring for a patient who is at 34 weeks of gestation and at risk for placental abruption.
Question 3 of 5
The nurse should recognize that which of the following is the most common risk factor for abruption?
Correct Answer: B
Rationale: Hypertension is the most common risk factor for placental abruption, as high blood pressure can damage placental blood vessels.
Extract:
A nurse is caring for a client who is 39 weeks pregnant and in active labor. The nurse detects the fetal heart tones above the client's umbilicus at the midline.
Question 4 of 5
Which of the following positions should the nurse suspect the fetus is in?
Correct Answer: D
Rationale: In a frank breech position, fetal heart tones are usually heard above the umbilicus, as the fetal head is positioned in the upper uterus.
Extract:
A woman's obstetric history indicates that she is pregnant for the fourth time and all of her children from previous pregnancies are living. One was born at 39 weeks of gestation, twins were born at 34 weeks of gestation, and another child was born at 35 weeks of gestation.
Question 5 of 5
What is her gravidity and parity using the GTPAL System?
Correct Answer: A
Rationale: G4 (4 pregnancies), T1 (1 term birth at 39 weeks), P2 (2 preterm births: twins at 34 weeks, 1 at 35 weeks), A0 (no abortions), L3 (3 living children from previous pregnancies).