ATI RN
ATI Maternal Newborn 2023 Questions
Extract:
A nurse in a hospital is caring for a client who is at 38 weeks of gestation and has a large amount of painless, bright red vaginal bleeding. The client's vital signs are: blood pressure 98/52 mm Hg, heart rate 118/min, respiratory rate 24/min, and temperature 36.4 C (97.6° F). The client is placed on a fetal monitor indicating a regular fetal heart rate of 138/min and no uterine contractions.
Question 1 of 5
What is the priority nursing action?
Correct Answer: B
Rationale: Initiating IV access is the priority to allow rapid administration of fluids and medications to stabilize the client's condition, likely due to placenta previa causing significant bleeding.
Extract:
Three hours post cesarean section, the physician orders Toradol 30 mg IM every 6 hours for pain. Toradol is available in 60 mg/mL.
Question 2 of 5
How many mLs should be drawn up?
Correct Answer: A
Rationale: 30 mg ÷ 60 mg/mL = 0.5 mL. The nurse should draw up 0.5 mL of
Toradol.
Extract:
A nurse is preparing to measure the fundal height of a client who is at 22 weeks of gestation.
Question 3 of 5
At which location should the nurse expect to palpate the fundus?
Correct Answer: D
Rationale: The correct answer is D, slightly above the umbilicus. This is the expected location to palpate the fundus immediately after childbirth. Fundal height corresponds with the number of weeks postpartum, so it should be around the level of the umbilicus within 12 hours postpartum and gradually decrease over the following days. Option A is too high for immediate postpartum, and option B is too low. Option C is incorrect as it suggests the fundus is below the umbilicus, which is not expected.
Extract:
A nurse is caring for a client who is at 34 weeks of gestation. The client reports headache, dizziness, and blurred vision for 1 week. The nurse notes 3+ edema in lower extremities and deep tendon reflexes (DTRs) 3+ with positive clonus. The fetal heart rate (FHR) is 140 with minimal variability.
Question 4 of 5
Which condition is the client most likely experiencing?
Correct Answer: A
Rationale: The client is most likely experiencing preeclampsia. Preeclampsia is a pregnancy complication characterized by high blood pressure and signs of damage to other organs, typically after 20 weeks of pregnancy. The key indicators are hypertension, proteinuria, and edema. Chronic hypertension (
B) is high blood pressure that existed before pregnancy or that occurs before 20 weeks of pregnancy. Neurologic status (
C) and liver function studies (
D) may be affected by preeclampsia, but they are not the primary condition.
Extract:
A nurse is caring for a newborn who has macrosomia and whose mother has diabetes mellitus.
Question 5 of 5
Which of the following newborn complications should the nurse recognize as the priority focus of care?
Correct Answer: D
Rationale: The correct answer is D: Hypoglycemia. This is the priority focus of care in newborns as low blood sugar can lead to serious complications such as seizures and brain damage. Immediate intervention is crucial to prevent long-term harm. Hypomagnesemia, hyperbilirubinemia, and hypocalcemia are important to monitor but are not as urgent as hypoglycemia in newborns. Hypoglycemia requires immediate attention to prevent adverse outcomes, making it the priority over the other choices.