ATI RN
ATI Maternal Newborn 2023 Questions
Extract:
A nurse is caring for a client who is at 34 weeks of gestation. The client is a 41-year-old Gravida 4 Para 3 with a history of gestational diabetes, eclampsia with a previous pregnancy, and chronic hypertension for 5 years. The client was admitted to the antepartum unit from the provider's office with elevated blood pressure, 3+ edema in the lower extremities, and 3+ proteinuria.
Question 1 of 5
What condition is the client most likely experiencing?
Correct Answer: A
Rationale: The client's symptoms of elevated blood pressure, 3+ edema, and 3+ proteinuria, combined with her history, indicate preeclampsia, requiring seizure precautions and monitoring of neurological status and liver function.
Extract:
A nurse is caring for a newborn who has macrosomia and whose mother has diabetes mellitus.
Question 2 of 5
Which of the following newborn complications should the nurse recognize as the priority focus of care?
Correct Answer: D
Rationale: Hypoglycemia is the priority focus of care for a newborn with macrosomia born to a mother with diabetes mellitus. The infant's high insulin levels, developed in response to maternal hyperglycemia, can cause a rapid drop in blood sugar after birth.
Extract:
A nurse is caring for a patient who is about to undergo a biophysical profile. The patient asks the nurse what aspects are evaluated during this test.
Question 3 of 5
Which of the following should the nurse include? (Select all that apply)
Correct Answer: C, D, E
Rationale: Fetal motion, fetal breathing, and amniotic fluid volume are evaluated during a biophysical profile to assess fetal well-being. Fetal neck translucency and gender are not part of this test.
Extract:
A nurse in labor and delivery is caring for a client. Following the delivery of the placenta, the nurse examines the umbilical cord.
Question 4 of 5
Which of the following vessels should the nurse expect to observe in the umbilical cord?
Correct Answer: D
Rationale: The umbilical cord typically contains two arteries and one vein. The arteries carry deoxygenated blood from the fetus to the placenta, and the vein carries oxygenated blood to the fetus.
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 5 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.