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:
A client is due to receive a subcutaneous injection of enoxaparin, 30 mg.
Question 2 of 5
How many mL should the nurse administer if the answer is to be rounded to the nearest tenth?
Correct Answer: B
Rationale: Enoxaparin is commonly available as 100 mg/mL. For 30 mg: 30 mg ÷ 100 mg/mL = 0.3 mL, rounded to the nearest tenth.
Extract:
A nurse is assessing a client who is pregnant for preeclampsia.
Question 3 of 5
Which of the following findings should indicate to the nurse that the client requires further evaluation for this disorder?
Correct Answer: B
Rationale: Elevated blood pressure is a primary symptom of preeclampsia. If a pregnant client has high blood pressure, it should indicate to the nurse that the client requires further evaluation for this disorder.
Extract:
A nurse in a prenatal clinic is caring for a client. Using Leopold maneuvers, the nurse palpates a round, firm, movable part in the fundus of the uterus and a long, smooth surface on the client's right side.
Question 4 of 5
In which abdominal quadrant should the nurse expect to auscultate fetal heart tones?
Correct Answer: A
Rationale: The right upper quadrant is the correct area to auscultate fetal heart tones when the fetal head is in the fundus and the back is on the client's right side, indicating a cephalic presentation.
Extract:
A nurse is preparing to administer methylergonovine IM to a client who has just had a vaginal delivery.
Question 5 of 5
The nurse should inform the client that this medication is intended to prevent which of the following conditions?
Correct Answer: A
Rationale: Methylergonovine is used to prevent postpartum hemorrhage by increasing uterine contractions to reduce bleeding after delivery.