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 a client who is experiencing infertility about clomiphene citrate.
Question 2 of 5
Which adverse effects should the nurse include?
Correct Answer: B
Rationale: Breast tenderness is a common side effect of clomiphene citrate. This is due to the hormonal changes induced by the medication.
Extract:
A nurse is preparing to perform Leopold maneuvers on a client who is at 36 weeks of gestation.
Question 3 of 5
Identify the sequence of actions the nurse should take.
Correct Answer: A, B, C, D, E
Rationale: The correct sequence is: 1) Instruct the client to empty their bladder (
A), 2) Position the client supine with knees flexed and a towel under one hip (
B), 3) Palpate the fundus (
C), 4) Palpate both sides of the uterus (
D), 5) Palpate above the symphysis pubis (E).
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: In the case of intrauterine fetal demise at 36 weeks of gestation, the most common treatment option is induction of labor.
Extract:
A nurse is caring for a patient who reports spontaneous rupture of membranes. The nurse observes fetal bradycardia on the FHR tracing and notices that the umbilical cord is protruding.
Question 5 of 5
After calling for assistance and notifying the provider, which of the following actions should the nurse take next?
Correct Answer: C
Rationale: The immediate next step after noticing a protruding umbilical cord is to perform a vaginal examination and apply upward pressure on the presenting part to relieve cord compression.