ATI RN
ATI Maternal Newborn 2023 Questions
Extract:
A nurse is caring for a client who is 34 weeks pregnant.
Question 1 of 5
The nurse should take which of the following actions to address the condition the client is most likely experiencing?
Correct Answer: A
Rationale: The correct action is to implement seizure precautions (choice
A) because the client is most likely experiencing a condition that predisposes them to seizures. Seizure precautions aim to prevent injury during a seizure episode. Checking deep tendon reflexes (choice
B) every hour is not the priority in this situation as it does not directly address the potential for seizures. Administering methyldopa (choice
C) is not appropriate without further assessment. Monitoring neurologic status (choice
D) is important but does not directly address preventing seizures.
Extract:
A nurse is caring for a term macrosomic newborn whose mother has poorly controlled type 2 diabetes. The newborn has respiratory distress syndrome.
Question 2 of 5
The nurse should be aware that the most likely cause of the respiratory distress is which of the following?
Correct Answer: D
Rationale: The correct answer is D: Hyperinsulinemia. Respiratory distress can be a symptom of hyperinsulinemia due to its association with conditions like diabetic ketoacidosis or hyperglycemic hyperosmolar state. High insulin levels can lead to respiratory alkalosis, causing rapid, shallow breathing. Increased fat deposits (choice
A) primarily affect mobility and not directly respiratory function. Brachial plexus injury (choice
B) would not typically cause respiratory distress. Increased blood viscosity (choice
C) could lead to cardiovascular issues but not directly impact respiratory function. In summary, hyperinsulinemia is the most likely cause of respiratory distress as it can directly affect breathing patterns.
Extract:
A nurse is preparing to measure the fundal height of a client who is at 22 weeks of gestation.
Question 3 of 5
At which location should the nurse expect to palpate the fundus?
Correct Answer: D
Rationale: The correct answer is D, slightly above the umbilicus. This is the expected location to palpate the fundus immediately after childbirth. Fundal height corresponds with the number of weeks postpartum, so it should be around the level of the umbilicus within 12 hours postpartum and gradually decrease over the following days. Option A is too high for immediate postpartum, and option B is too low. Option C is incorrect as it suggests the fundus is below the umbilicus, which is not expected.
Extract:
A nurse is leading a discussion about contraception with a group of 14-year-old clients. After the presentation, a client asks the nurse which method would be best for her to use.
Question 4 of 5
Which of the following responses should the nurse make?
Correct Answer: A
Rationale:
Correct
Answer: A
Rationale:
1. A: This response acknowledges the need for a physical examination by a healthcare provider, ensuring appropriate assessment and care.
2. B: Asking about sexual activity before addressing the immediate concern may be intrusive and irrelevant.
3. C: Commenting on age is not helpful and may come across as judgmental or dismissive.
4. D: This response is presumptive and may not address the immediate need for medical attention.
5. E-G: Irrelevant options as they are not provided.
Summary:
Answer A is correct because it emphasizes the importance of seeking help from a healthcare provider for proper evaluation and care. Other choices are incorrect as they either miss the point, are judgmental, or are presumptive.
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 5 of 5
The nurse observes late decelerations on the monitor strip and interprets them as indicating which of the following?
Correct Answer: C
Rationale: The correct answer is C: Uteroplacental insufficiency. Late decelerations are a sign of inadequate oxygen supply to the fetus due to decreased blood flow through the placenta during contractions. This is often caused by uteroplacental insufficiency, where the placenta is not functioning optimally to supply the fetus with oxygen and nutrients. Other choices are incorrect because fetal head compression (
A) and umbilical cord compression (
B) typically result in variable decelerations, maternal bradycardia (
D) would not directly affect fetal heart rate patterns.