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 39 weeks pregnant and in active labor. The nurse detects the fetal heart tones above the client's umbilicus at the midline.
Question 2 of 5
Which of the following positions should the nurse suspect the fetus is in?
Correct Answer: D
Rationale: In a frank breech position, fetal heart tones are usually heard above the umbilicus, as the fetal head is positioned in the upper uterus.
Extract:
A nurse is caring for a patient who is in labor at 40 weeks of gestation and reports that she has saturated two perineal pads in the past 30 minutes. The nurse suspects placenta previa.
Question 3 of 5
What would be an appropriate nursing action in this situation?
Correct Answer: C
Rationale: Preparing for a cesarean birth is appropriate for suspected placenta previa, as significant bleeding indicates the need for surgical delivery to ensure maternal and fetal safety.
Extract:
A nurse is caring for a client who is receiving opioid epidural analgesia during labor.
Question 4 of 5
Which of the following findings is the nurse's priority?
Correct Answer: A
Rationale: A blood pressure of 80/56 mm Hg is the priority, indicating hypotension, a known side effect of epidural analgesia that can compromise maternal and fetal perfusion.
Extract:
A nurse is caring for a term macrosomic newborn whose mother has poorly controlled type 2 diabetes. The newborn has respiratory distress syndrome.
Question 5 of 5
The nurse should be aware that the most likely cause of the respiratory distress is which of the following?
Correct Answer: D
Rationale: Hyperinsulinemia, or high levels of insulin in the blood, is the most likely cause of respiratory distress in this case. High maternal glucose levels lead to fetal hyperinsulinemia, which can impair surfactant production, contributing to respiratory distress syndrome.