ATI RN
ATI Maternal Newborn 2023 Questions
Extract:
A nurse is preparing to administer methylergonovine IM to a client who has just had a vaginal delivery.
Question 1 of 5
The nurse should inform the client that this medication is intended to prevent which of the following conditions?
Correct Answer: A
Rationale: Methylergonovine is used to prevent postpartum hemorrhage by increasing uterine contractions to reduce bleeding after delivery.
Extract:
A nurse is attending to a client in active labor and observes late decelerations on the fetal monitor.
Question 2 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 34 weeks of gestation. The client is a 41-year-old Gravida 4 Para 3 with a history of gestational diabetes, eclampsia with a previous pregnancy, and chronic hypertension for 5 years. The client was admitted to the antepartum unit from the provider's office with elevated blood pressure, 3+ edema in the lower extremities, and 3+ proteinuria.
Question 3 of 5
What condition is the client most likely experiencing?
Correct Answer: A
Rationale: The client's symptoms of elevated blood pressure, 3+ edema, and 3+ proteinuria, combined with her history, indicate preeclampsia, requiring seizure precautions and monitoring of neurological status and liver function.
Extract:
A nurse is caring for a client who is scheduled for a maternal serum alpha-fetoprotein test at 15 weeks of gestation.
Question 4 of 5
Which of the following explanations about this test should the nurse provide to the client?
Correct Answer: A
Rationale: The correct answer is A because the given test is likely referring to the maternal serum alpha-fetoprotein (MSAFP) screening test. This test is commonly used to screen for neural tube defects and other spinal abnormalities in the fetus. The other choices are incorrect because B is usually assessed through tests like lecithin/sphingomyelin ratio, C is typically identified through Rh factor testing, and D is evaluated through tests like non-stress test or biophysical profile.
Therefore, the most appropriate explanation to provide to the client is that the test is a screening test for spinal defects in the fetus.
Extract:
A nurse in a hospital is caring for a client who is at 38 weeks of gestation and has a large amount of painless, bright red vaginal bleeding. The client's vital signs are: blood pressure 98/52 mm Hg, heart rate 118/min, respiratory rate 24/min, and temperature 36.4 C (97.6° F). The client is placed on a fetal monitor indicating a regular fetal heart rate of 138/min and no uterine contractions.
Question 5 of 5
What is the priority nursing action?
Correct Answer: B
Rationale: Initiating IV access is the priority to allow rapid administration of fluids and medications to stabilize the client's condition, likely due to placenta previa causing significant bleeding.