Questions 49

ATI RN

ATI RN Test Bank

ATI Maternal Newborn 2023 Questions

Extract:

A nurse is attending to a patient in labor who has received an epidural anesthesia block. The patient's blood pressure reads 80/40 mm Hg and the fetal heart rate is 140/min.


Question 1 of 5

What should be the nurse's immediate course of action?

Correct Answer: D

Rationale: Positioning the patient laterally is the immediate course of action to maximize venous return and improve maternal blood pressure and fetal perfusion after epidural-induced hypotension.

Extract:

A nurse is providing care for a patient who is at 34 weeks of gestation. The nurse is reviewing the patient's electronic medical record to develop a plan of care.


Question 2 of 5

Which condition is the patient most likely experiencing?

Correct Answer: A

Rationale: Preeclampsia is likely given the gestational age and context, requiring seizure precautions and monitoring of neurological status and liver function due to risks of eclampsia and organ damage.

Extract:

A nurse is attending to a client in active labor and observes late decelerations on the fetal monitor.


Question 3 of 5

What should be the nurse's priority action?

Correct Answer: D

Rationale: Positioning the client on her side is the priority action to improve uteroplacental blood flow and address late decelerations, which indicate uteroplacental insufficiency.

Extract:

A nurse is admitting a patient with severe pre-eclampsia at 35 weeks of gestation and is reviewing the provider's orders.


Question 4 of 5

Which of the following orders requires clarification?

Correct Answer: C

Rationale: Ambulating twice daily may not be appropriate for a patient with severe pre-eclampsia at 35 weeks of gestation. Bed rest is often recommended to help lower blood pressure and reduce the risk of complications.

Extract:

A nurse has received an order to administer Morphine 5mg IV once immediately. The available concentration is 2.5 mg/mL.


Question 5 of 5

How many mL of morphine should the nurse prepare for administration?

Correct Answer: C

Rationale:
To calculate: 5 mg ÷ 2.5 mg/mL = 2 mL.
Therefore, the nurse should prepare 2 mL of morphine for administration.

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