ATI RN
ATI Maternal Newborn 2023 Questions
Extract:
As a nurse in an antepartum unit performing triage, which client should be prioritized?
Question 1 of 5
Which client should be prioritized?
Correct Answer: B
Rationale: A client at 28 weeks of gestation reporting painless vaginal bleeding could be experiencing placenta previa or placental abruption, both obstetric emergencies requiring immediate evaluation.
Extract:
A nurse is caring for a client in the second stage of labor. The nurse observes retraction of the fetal head against the maternal perineum after the fetal head is birthed.
Question 2 of 5
What potential condition could the client be experiencing?
Correct Answer: A
Rationale: The nurse is observing a potential case of shoulder dystocia, a condition where the baby's head has been delivered but one of the shoulders becomes stuck behind the mother's pelvic bone.
Extract:
A nurse in a prenatal clinic is caring for a pregnant client who inquires about her estimated date of birth (EDB). If the client's last menstrual period started on July 27, what would be the client's EDB?
Question 3 of 5
What would be the client's EDB if her last menstrual period started on July 27?
Correct Answer: B
Rationale: Using Nägele's Rule: subtract 3 months from July 27 (April 27), add 7 days (May 4). The EDB in MMDD format is 0504.
Extract:
A nurse is caring for a client who is at 36 weeks of gestation and suspected of having placenta previa.
Question 4 of 5
Which of the following symptoms would support this diagnosis?
Correct Answer: D
Rationale: Painless red vaginal bleeding is a classic symptom of placenta previa, where the placenta covers the cervix, typically occurring in the third trimester.
Extract:
A patient's lab results are as follows: BUN level is 8 mg/dL, Hemoglobin is 15 g/dL, Hematocrit is 47%, WBC count is 9,000/mm, Platelet count is 140,000/mm, Creatinine is 1.3 mg/dL, Bilirubin is 20 mg/dL, Aspartate aminotransferase (AST) is 36 units/L, and Alanine aminotransferase (ALT) is 40 units/L.
Question 5 of 5
What actions should be taken?
Correct Answer: C
Rationale: The bilirubin level of 20 mg/dL is significantly elevated (normal is 0.1-1.2 mg/dL), suggesting liver dysfunction or hemolysis, which requires further investigation. Reviewing daily logs helps monitor trends, but the provider should be notified of the bilirubin level.