ATI RN
ATI RN Maternal Newborn 2023 III Questions
Extract:
A nurse in a provider's office is caring for a 20-year-old client who is at 12 weeks of gestation and requests an amniocentesis to determine the sex of the fetus.
Question 1 of 5
What responses should the nurse make?
Correct Answer: D
Rationale: Amniocentesis diagnoses genetic disorders, not just fetal sex, which can be determined less invasively via ultrasound, making this the appropriate response.
Extract:
A nurse is reviewing the history of a client who is pregnant.
Question 2 of 5
Which of the following clinical data indicates the client is at risk for preterm delivery?
Correct Answer: D
Rationale: A previous cervical cerclage indicates a history of cervical insufficiency, a known risk factor for preterm delivery.
Extract:
A 28-year-old female at 15 weeks gestation reports frequent nausea, vomiting, fatigue, weight loss, dizziness, no abdominal pain.
Question 3 of 5
Which of the following findings should the nurse identify as an indication of a potential complication of pregnancy? (Select all that apply)
Correct Answer: A, B, C, D, E
Rationale: Sodium 132 mEq/L, urine specific gravity 1.035, potassium 3.3 mEq/L, HR 106/min, and weight loss indicate hyperemesis gravidarum complications (electrolyte imbalance, dehydration), requiring monitoring.
Extract:
A nurse is caring for a client experiencing infertility who is requesting in vitro fertilization.
Question 4 of 5
What information should the nurse provide to the client?
Correct Answer: D
Rationale: Informing the client about the possible need for reduction of multiple fetuses is key in IVF counseling due to the risk of multiple gestations from transferring multiple embryos.
Extract:
A 28-year-old female at 12 weeks gestation admitted with excessive vomiting for 48 hours, lost 2.3 kg. Reports unable to keep food/fluids down. Dry mucous membranes, poor skin turgor, amber urine 20 mL/hr.
Question 5 of 5
The nurse is assessing the client 24 hours later. How should the nurse interpret the findings? Options: A. Urine pH 5.0, B. Urine specific gravity 1.050, C. 3+ ketones, D. Urinary output 40 mL/hr, E. HR 130/min, F. WBC 10,000/mm³
Correct Answer: A
Rationale: Urine pH 5.0 and output 40 mL/hr improving (hydration); specific gravity 1.050, 3+ ketones, HR 130/min worsening (dehydration); WBC 10,000/mm³ unrelated (normal range).