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 assessing a client who is pregnant for preeclampsia.
Question 2 of 5
Which of the following findings should indicate to the nurse that the client requires further evaluation for this disorder?
Correct Answer: B
Rationale: Elevated blood pressure is a primary symptom of preeclampsia. If a pregnant client has high blood pressure, it should indicate to the nurse that the client requires further evaluation for this disorder.
Extract:
A nurse is preparing to measure the fundal height of a client who is at 22 weeks of gestation.
Question 3 of 5
At which location should the nurse expect to palpate the fundus?
Correct Answer: D
Rationale: At 22 weeks of gestation, the fundus, or top of the uterus, is typically located slightly above the umbilicus.
Extract:
A client is due to receive a subcutaneous injection of enoxaparin, 30 mg.
Question 4 of 5
How many mL should the nurse administer if the answer is to be rounded to the nearest tenth?
Correct Answer: B
Rationale: Enoxaparin is commonly available as 100 mg/mL. For 30 mg: 30 mg ÷ 100 mg/mL = 0.3 mL, rounded to the nearest tenth.
Extract:
A nurse is caring for a client who is in the second stage of labor. The nurse observes retraction of the fetal head against the maternal perineum as the head is birthed.
Question 5 of 5
Which condition is the client most likely experiencing?
Correct Answer: A
Rationale: Retraction of the fetal head against the maternal perineum as the head is birthed is a classic sign of shoulder dystocia, where the baby's shoulder gets stuck behind the mother's pelvic bone during delivery.