ATI RN
ATI Maternal Newborn 2023 Questions
Extract:
A nurse is caring for a client in the second stage of labor. The nurse observes retraction of the fetal head against the maternal perineum after the fetal head is birthed.
Question 1 of 5
What potential condition could the client be experiencing?
Correct Answer: A
Rationale: The nurse is observing a potential case of shoulder dystocia, a condition where the baby's head has been delivered but one of the shoulders becomes stuck behind the mother's pelvic bone.
Extract:
In the context of diabetes incidence and classification, which statement should maternity nurses be aware of?
Question 2 of 5
Which statement should maternity nurses be aware of?
Correct Answer: B
Rationale: Type 2 diabetes often remains undiagnosed because its symptoms can be subtle and develop slowly, which is critical for maternity nurses to recognize.
Extract:
A patient's lab results are as follows: BUN level is 8 mg/dL, Hemoglobin is 15 g/dL, Hematocrit is 47%, WBC count is 9,000/mm, Platelet count is 140,000/mm, Creatinine is 1.3 mg/dL, Bilirubin is 20 mg/dL, Aspartate aminotransferase (AST) is 36 units/L, and Alanine aminotransferase (ALT) is 40 units/L.
Question 3 of 5
What actions should be taken?
Correct Answer: C
Rationale: The bilirubin level of 20 mg/dL is significantly elevated (normal is 0.1-1.2 mg/dL), suggesting liver dysfunction or hemolysis, which requires further investigation. Reviewing daily logs helps monitor trends, but the provider should be notified of the bilirubin level.
Extract:
A nurse is caring for a client who is in active labor and notes late decelerations in the FHR.
Question 4 of 5
Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: Changing the client's position is the first action to take when noting late decelerations in the FHR, as it can help alleviate pressure on the fetus and improve blood flow.
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.