ATI RN
ATI RN Maternal Newborn 2023 Questions
Extract:
A nurse in a prenatal clinic is caring for a group of clients.
Question 1 of 5
The nurse should recognize that which of the following clients has a contraindication for a contraction stress test?
Correct Answer: B
Rationale: The correct answer is B. A client with a previous classical incision (vertical incision on the uterus) has a contraindication for a contraction stress test due to the risk of uterine rupture. This type of incision weakens the uterine wall, increasing the likelihood of complications during labor.
A: A client with gestational diabetes mellitus can undergo a contraction stress test as long as blood sugar levels are monitored.
C: A client with a previous stillbirth does not have a contraindication for a contraction stress test.
D: A client with a nonreactive nonstress test may benefit from further evaluation with a contraction stress test.
Extract:
A nurse is assessing a newborn who was born 2 hr ago and was admitted to the neonatal intensive care unit with chest wall retractions and blue discoloration of the hands and feet.
Question 2 of 5
Which of the following findings indicates a decline in the newborn's status?
Correct Answer: C
Rationale:
Correct Answer: C - Oxygen saturation of 89%
Rationale: A newborn's oxygen saturation should ideally be above 95%. A level of 89% indicates hypoxemia, which can lead to serious complications like brain damage. Monitoring oxygen saturation is crucial in assessing the newborn's respiratory status.
Summary of other choices:
A: Apneic episode less than 15 seconds - Can be a normal finding in newborns and may not necessarily indicate a decline in status.
B: Fine crackles - Can be a common finding in newborns and may not directly indicate a decline in status.
D: Nasal flaring - Can be a sign of respiratory distress but may not always indicate a decline in status.
Extract:
A nurse is reviewing laboratory findings for a client who is at 20 weeks of gestation.
Question 3 of 5
Which of the following findings should the nurse report to the provider?
Correct Answer: C
Rationale: The correct answer is C: Fasting blood glucose 180 mg/dL (74 to 106 mg/dL). This finding should be reported to the provider because it indicates hyperglycemia, which may require adjustment in the patient's diabetes management plan to prevent complications. A: WBC count within the range, so not urgent. B: Hematocrit within the range, so not critical. D: Creatinine within the range, so not an immediate concern. Reporting C is crucial for timely intervention.
Extract:
A nurse in a provider's office is caring for a 20-year-old client who is at 12 weeks of gestation and requests an amniocentesis to determine the sex of the fetus.
Question 4 of 5
Which of the following responses should the nurse make?
Correct Answer: B
Rationale: The correct answer is B because chorionic villus sampling is used to detect genetic disorders, not determine the baby's sex (
A). Offering to schedule the procedure immediately without discussing risks or benefits (
C) is not appropriate. The statement about age restriction for amniocentesis (
D) is false and misleading. It's important for the nurse to focus on the purpose of the procedure, which is to identify genetic or congenital disorders in the baby (
B).
Extract:
A nurse is caring for a client who is 1 hr postpartum and has uterine atony. The client is exhibiting a large amount of vaginal bleeding.
Question 5 of 5
Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Anticipate a prescription for misoprostol. This is the correct action because misoprostol is commonly used in obstetrics to induce labor or manage postpartum hemorrhage. The nurse should anticipate this prescription to be prepared to administer it as needed.
Choice A is incorrect as sterile vaginal examinations may be necessary for assessment and care.
Choice C is incorrect as a Kleihauer-Betke test is used to detect fetal-maternal hemorrhage, not typically indicated in this scenario.
Choice D is incorrect as betamethasone is a corticosteroid used for fetal lung maturity, not indicated in this situation.