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 on the labor and delivery unit is caring for a patient following a vaginal examination by the provider which is documented as: -1.
Question 2 of 5
Which of the following interpretations of this finding should the nurse make?
Correct Answer: C
Rationale: The documentation “-1†in a vaginal examination indicates that the presenting part is 1 cm above the ischial spines, a common finding during labor.
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 3 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.
Extract:
A nurse in a prenatal clinic is caring for a client. Using Leopold maneuvers, the nurse palpates a round, firm, movable part in the fundus of the uterus and a long, smooth surface on the client's right side.
Question 4 of 5
In which abdominal quadrant should the nurse expect to auscultate fetal heart tones?
Correct Answer: A
Rationale: The right upper quadrant is the correct area to auscultate fetal heart tones when the fetal head is in the fundus and the back is on the client's right side, indicating a cephalic presentation.
Extract:
A nurse is caring for a client who is 34 weeks pregnant.
Question 5 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.