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 nurse in labor and delivery is caring for a client. Following the delivery of the placenta, the nurse examines the umbilical cord.
Question 2 of 5
Which of the following vessels should the nurse expect to observe in the umbilical cord?
Correct Answer: D
Rationale: The umbilical cord typically contains two arteries and one vein. The arteries carry deoxygenated blood from the fetus to the placenta, and the vein carries oxygenated blood to the fetus.
Extract:
A nurse is preparing to administer methylergonovine IM to a client who has just had a vaginal delivery.
Question 3 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.
Extract:
A client is due to receive a subcutaneous injection of enoxaparin, 30 mg.
Question 4 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 caring for a client in the first stage of labor who is undergoing external fetal monitoring and receiving IV fluids. The nurse observes variable decelerations in the fetal heart rate on the monitor strip.
Question 5 of 5
Which of the following is the correct interpretation of this finding?
Correct Answer: B
Rationale: Variable decelerations are due to umbilical cord compression, causing quick decreases in fetal heart rate that vary with contractions.