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 caring for a client who is receiving opioid epidural analgesia during labor.
Question 2 of 5
Which of the following findings is the nurse's priority?
Correct Answer: A
Rationale: A blood pressure of 80/56 mm Hg is the priority, indicating hypotension, a known side effect of epidural analgesia that can compromise maternal and fetal perfusion.
Extract:
A nurse is attending to a patient in labor who has received an epidural anesthesia block. The patient's blood pressure reads 80/40 mm Hg and the fetal heart rate is 140/min.
Question 3 of 5
What should be the nurse's immediate course of action?
Correct Answer: D
Rationale: Positioning the patient laterally is the immediate course of action to maximize venous return and improve maternal blood pressure and fetal perfusion after epidural-induced hypotension.
Extract:
A nurse midwife is examining a patient who is at 42 weeks of gestation and believes she is in labor.
Question 4 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.
Extract:
A nurse is caring for a patient who is in labor at 40 weeks of gestation and reports that she has saturated two perineal pads in the past 30 minutes. The nurse suspects placenta previa.
Question 5 of 5
What would be an appropriate nursing action in this situation?
Correct Answer: C
Rationale: Preparing for a cesarean birth is appropriate for suspected placenta previa, as significant bleeding indicates the need for surgical delivery to ensure maternal and fetal safety.