ATI RN
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 midwife is examining a patient who is at 42 weeks of gestation and believes she is in labor.
Question 2 of 5
Which of the following findings would confirm to the nurse that the patient is in labor?
Correct Answer: B
Rationale: Cervical dilation is a key sign that a patient is in labor, as it indicates the cervix is opening to allow the baby to pass through the birth canal.
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 group of patients on an intrapartum unit.
Question 4 of 5
Which of the following findings should be reported to the healthcare provider immediately?
Correct Answer: C
Rationale: A patient with preeclampsia reporting epigastric pain and an unresolved headache indicates severe preeclampsia, which can lead to serious complications like eclampsia if not treated promptly.
Extract:
A nurse in a healthcare provider's office is caring for a patient who is at 34 weeks of gestation and at risk for placental abruption.
Question 5 of 5
The nurse should recognize that which of the following is the most common risk factor for abruption?
Correct Answer: B
Rationale: Hypertension is the most common risk factor for placental abruption, as high blood pressure can damage placental blood vessels.