ATI RN
ATI Maternal Newborn 2023 Questions
Extract:
A woman's obstetric history indicates that she is pregnant for the fourth time and all of her children from previous pregnancies are living. One was born at 39 weeks of gestation, twins were born at 34 weeks of gestation, and another child was born at 35 weeks of gestation.
Question 1 of 5
What is her gravidity and parity using the GTPAL System?
Correct Answer: A
Rationale: G4 (4 pregnancies), T1 (1 term birth at 39 weeks), P2 (2 preterm births: twins at 34 weeks, 1 at 35 weeks), A0 (no abortions), L3 (3 living children from previous pregnancies).
Extract:
A nurse is admitting a patient with severe pre-eclampsia at 35 weeks of gestation and is reviewing the provider's orders.
Question 2 of 5
Which of the following orders requires clarification?
Correct Answer: C
Rationale: Ambulating twice daily may not be appropriate for a patient with severe pre-eclampsia at 35 weeks of gestation. Bed rest is often recommended to help lower blood pressure and reduce the risk of complications.
Extract:
A nurse is attending to a client in active labor and observes late decelerations on the fetal monitor.
Question 3 of 5
What should be the nurse's priority action?
Correct Answer: D
Rationale: Positioning the client on her side is the priority action to improve uteroplacental blood flow and address late decelerations, which indicate uteroplacental insufficiency.
Extract:
The nurse caring for the pregnant patient understands that which hormone is essential for maintaining pregnancy?
Question 4 of 5
Which hormone is essential for maintaining pregnancy?
Correct Answer: D
Rationale: The correct answer is D: Progesterone. Progesterone is essential for maintaining pregnancy as it helps prepare the uterus for implantation and supports the growth of the placenta. It also inhibits contractions of the uterine muscles, preventing premature labor. Estrogen (
A) plays a role in preparing the uterus for pregnancy, but progesterone is crucial for maintaining it. Oxytocin (
B) stimulates uterine contractions during labor, not for maintaining pregnancy. Human chorionic gonadotropin (hCG) (
C) is produced during pregnancy but its main function is to support the corpus luteum in the early stages, not to maintain pregnancy.
Extract:
A nurse is leading a discussion about contraception with a group of 14-year-old clients. After the presentation, a client asks the nurse which method would be best for her to use.
Question 5 of 5
Which of the following responses should the nurse make?
Correct Answer: A
Rationale:
Correct Answer: A
Rationale:
1. A: This response acknowledges the need for a physical examination by a healthcare provider, ensuring appropriate assessment and care.
2. B: Asking about sexual activity before addressing the immediate concern may be intrusive and irrelevant.
3. C: Commenting on age is not helpful and may come across as judgmental or dismissive.
4. D: This response is presumptive and may not address the immediate need for medical attention.
5. E-G: Irrelevant options as they are not provided.
Summary:
Answer A is correct because it emphasizes the importance of seeking help from a healthcare provider for proper evaluation and care. Other choices are incorrect as they either miss the point, are judgmental, or are presumptive.