ATI RN
ATI RN Maternal Newborn 2023 Exam 4 Questions
Extract:
A nurse in the emergency department is caring for a 19-year-old patient who is at 18 weeks of gestation. The patient presents with reports of nausea and vomiting for the past several weeks, which has worsened in severity. The patient states that they have been unable to retain even clear fluids for the past 48 hours. The patient reports no pain. The patient reports a history of migraines and asthma.
Question 1 of 5
What condition is the patient most likely experiencing?
Correct Answer: B
Rationale: The patient is most likely experiencing Hyperemesis Gravidarum, a severe form of nausea and vomiting in pregnancy that can lead to dehydration.
Extract:
A nurse is teaching about car seat safety to the parents of a newborn who was delivered at 38 weeks of gestation.
Question 2 of 5
Which statement by a parent indicates an understanding of the teaching?
Correct Answer: D
Rationale: The car seat should be positioned at a 45-degree angle to support the newborn's head and prevent it from falling forward.
Extract:
A nurse has been monitoring a client who gave birth vaginally 8 hours ago.
Question 3 of 5
Based on the nurse's notes at 0700 and 1100, select the three findings that necessitate immediate follow-up.
Correct Answer: B, C, E
Rationale: A BP of 136/86 mm Hg (
B) suggests possible hypertension, lateral deviation of the uterus (
C) may indicate a full bladder affecting uterine contraction, and large lochia rubra (E) could signal hemorrhage.
Extract:
A nurse is caring for a patient who is at 36 weeks of gestation and has a confirmed intrauterine fetal demise.
Question 4 of 5
Which of the following treatment options should the nurse anticipate the provider to discuss with the patient?
Correct Answer: A
Rationale: The correct answer is A: Scheduled induction of labor. In this scenario, the nurse should anticipate the provider discussing this treatment option with the patient because it is a common intervention for various obstetric conditions such as post-term pregnancy, preeclampsia, or fetal compromise. Induction of labor can help prevent complications and promote a safe delivery for both the mother and baby. The other choices are incorrect because: B - Immediate cesarean birth is typically considered in emergency situations and not as a routine treatment option. C - Administration of methotrexate is used for medical management of ectopic pregnancy, not for inducing labor. D - Dilation with suction curettage is a procedure used for managing certain gynecological conditions, not for labor induction.
Extract:
A nurse is attending to a newborn who was delivered at 39 weeks of gestation and is now 36 hours old. The newborn has been breastfeeding 3 to 4 times per day and has voided once since birth but has not passed meconium stool yet.
Question 5 of 5
Which of the following observations should the nurse report to the provider?
Correct Answer: D
Rationale: The nurse should report intake and output to the provider because it reflects the patient's fluid balance and kidney function, which are crucial for overall health. Changes in intake and output may indicate dehydration, kidney problems, or other issues requiring medical attention. Glucose level, head assessment findings, and respiratory rate are important observations but may not always require immediate provider notification. Sclera color may provide information about liver function but is not as urgent as intake and output in most cases.