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 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 2 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).
Extract:
A nurse is caring for a client in the second stage of labor. The nurse observes retraction of the fetal head against the maternal perineum after the fetal head is birthed.
Question 3 of 5
What potential condition could the client be experiencing?
Correct Answer: A
Rationale: The nurse is observing a potential case of shoulder dystocia, a condition where the baby's head has been delivered but one of the shoulders becomes stuck behind the mother's pelvic bone.
Extract:
A nurse is providing care for a patient who is at 34 weeks of gestation. The nurse is reviewing the patient's electronic medical record to develop a plan of care.
Question 4 of 5
Which condition is the patient most likely experiencing?
Correct Answer: A
Rationale: Preeclampsia is likely given the gestational age and context, requiring seizure precautions and monitoring of neurological status and liver function due to risks of eclampsia and organ damage.
Extract:
Three hours post cesarean section, the physician orders Toradol 30 mg IM every 6 hours for pain. Toradol is available in 60 mg/mL.
Question 5 of 5
How many mLs should be drawn up?
Correct Answer: A
Rationale: 30 mg ÷ 60 mg/mL = 0.5 mL. The nurse should draw up 0.5 mL of
Toradol.