ATI RN
ATI Maternal Newborn 2023 Questions
Extract:
A nurse is attending to a client in active labor and observes late decelerations on the fetal monitor.
Question 1 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 caring for a client who is in labor and has an external fetal monitor. The nurse observes late decelerations on the monitor strip.
Question 2 of 5
The nurse observes late decelerations on the monitor strip and interprets them as indicating which of the following?
Correct Answer: C
Rationale: The correct answer is C: Uteroplacental insufficiency. Late decelerations are a sign of inadequate oxygen supply to the fetus due to decreased blood flow through the placenta during contractions. This is often caused by uteroplacental insufficiency, where the placenta is not functioning optimally to supply the fetus with oxygen and nutrients. Other choices are incorrect because fetal head compression (
A) and umbilical cord compression (
B) typically result in variable decelerations, maternal bradycardia (
D) would not directly affect fetal heart rate patterns.
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 3 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.
Extract:
A nurse is caring for a newborn who has macrosomia and whose mother has diabetes mellitus.
Question 4 of 5
Which of the following newborn complications should the nurse recognize as the priority focus of care?
Correct Answer: D
Rationale: The correct answer is D: Hypoglycemia. This is the priority focus of care in newborns as low blood sugar can lead to serious complications such as seizures and brain damage. Immediate intervention is crucial to prevent long-term harm. Hypomagnesemia, hyperbilirubinemia, and hypocalcemia are important to monitor but are not as urgent as hypoglycemia in newborns. Hypoglycemia requires immediate attention to prevent adverse outcomes, making it the priority over the other choices.
Extract:
A nurse in labor and delivery is caring for a client. Following the delivery of the placenta, the nurse examines the umbilical cord.
Question 5 of 5
Which of the following vessels should the nurse expect to observe in the umbilical cord?
Correct Answer: D
Rationale: The umbilical cord typically contains two arteries and one vein. The arteries carry deoxygenated blood from the fetus to the placenta, and the vein carries oxygenated blood to the fetus.