ATI RN
ATI Maternal Newborn 2023 Questions
Extract:
A patient's lab results are as follows: BUN level is 8 mg/dL, Hemoglobin is 15 g/dL, Hematocrit is 47%, WBC count is 9,000/mm, Platelet count is 140,000/mm, Creatinine is 1.3 mg/dL, Bilirubin is 20 mg/dL, Aspartate aminotransferase (AST) is 36 units/L, and Alanine aminotransferase (ALT) is 40 units/L.
Question 1 of 5
What actions should be taken?
Correct Answer: C
Rationale: The bilirubin level of 20 mg/dL is significantly elevated (normal is 0.1-1.2 mg/dL), suggesting liver dysfunction or hemolysis, which requires further investigation. Reviewing daily logs helps monitor trends, but the provider should be notified of the bilirubin level.
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 2 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:
A patient is in preterm labor at 30 weeks gestation. Her OB orders antenatal steroids. The order is for the nurse to administer betamethasone IM and to repeat the dose after 2 hours. Betamethasone is available as 4mg/mL in 10 mL vials.
Question 3 of 5
How many mL will the nurse draw up in the syringe for each dose?
Correct Answer: D
Rationale: Standard betamethasone dose for preterm labor is 12 mg. 12 mg ÷ 4 mg/mL = 3 mL per dose.
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 4 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 midwife is examining a patient who is at 42 weeks of gestation and believes she is in labor.
Question 5 of 5
Which of the following findings would confirm to the nurse that the patient is in labor?
Correct Answer: B
Rationale: Cervical dilation is a key sign that a patient is in labor, as it indicates the cervix is opening to allow the baby to pass through the birth canal.