ATI RN
ATI Maternal Newborn 2023 Questions
Extract:
50 grams of Magnesium sulfate is added to 1L of Lactated Ringers. After giving an initial loading dose, the nurse is to infuse a maintenance dose of 2 gm/hr.
Question 1 of 5
What rate should the IV pump be set at?
Correct Answer: D
Rationale: Concentration: 50 g/1000 mL = 0.05 g/mL = 50 mg/mL. For 2 g/hr (2000 mg/hr): 2000 mg/hr ÷ 50 mg/mL = 40 mL/hr.
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 2 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:
As a nurse in an antepartum unit performing triage, which client should be prioritized?
Question 3 of 5
Which client should be prioritized?
Correct Answer: B
Rationale: A client at 28 weeks of gestation reporting painless vaginal bleeding could be experiencing placenta previa or placental abruption, both obstetric emergencies requiring immediate evaluation.
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 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 5 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.