ATI RN
ATI Maternal Newborn 2023 Questions
Extract:
Which blood pressure (BP) finding during the second trimester indicates a risk for pregnancy-induced hypertension?
Question 1 of 5
Which blood pressure (BP) finding during the second trimester indicates a risk for pregnancy-induced hypertension?
Correct Answer: B
Rationale: A significant increase in blood pressure from a baseline of 110/70 mmHg to a current BP of 145/85 mmHg could indicate a risk for pregnancy-induced hypertension.
Extract:
A nurse on the labor and delivery unit is caring for a patient following a vaginal examination by the provider which is documented as: -1.
Question 2 of 5
Which of the following interpretations of this finding should the nurse make?
Correct Answer: C
Rationale: The documentation “-1†in a vaginal examination indicates that the presenting part is 1 cm above the ischial spines, a common finding during labor.
Extract:
A nurse in a provider's office is caring for a client who is pregnant.
Question 3 of 5
Which of the following assessment findings should the nurse report to the provider? (Select all that apply)
Correct Answer: D
Rationale: A blood pressure of 179/99 mm Hg indicates potential preeclampsia and should be reported. Other vital signs are within normal ranges for pregnancy.
Extract:
A nurse is assessing a client who is pregnant for preeclampsia.
Question 4 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: The correct answer is B: Elevated blood pressure. This finding should indicate to the nurse that the client requires further evaluation for the disorder because it could be a sign of a serious health condition such as hypertension, which needs prompt assessment and management to prevent complications. Vaginal discharge (
A) could indicate an infection but does not necessarily relate to the specific disorder in question. Joint pain (
C) may be indicative of other conditions like arthritis. Increased urine output (
D) could be related to different factors such as increased fluid intake or diabetes, but not necessarily specific to the disorder being evaluated.
Extract:
A nurse is caring for a term macrosomic newborn whose mother has poorly controlled type 2 diabetes. The newborn has respiratory distress syndrome.
Question 5 of 5
The nurse should be aware that the most likely cause of the respiratory distress is which of the following?
Correct Answer: D
Rationale: The correct answer is D: Hyperinsulinemia. Respiratory distress can be a symptom of hyperinsulinemia due to its association with conditions like diabetic ketoacidosis or hyperglycemic hyperosmolar state. High insulin levels can lead to respiratory alkalosis, causing rapid, shallow breathing. Increased fat deposits (choice
A) primarily affect mobility and not directly respiratory function. Brachial plexus injury (choice
B) would not typically cause respiratory distress. Increased blood viscosity (choice
C) could lead to cardiovascular issues but not directly impact respiratory function. In summary, hyperinsulinemia is the most likely cause of respiratory distress as it can directly affect breathing patterns.