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 group of patients on an intrapartum unit.
Question 2 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 is caring for a client who is at 22 weeks of gestation and has been unable to control her gestational diabetes mellitus with diet and exercise.
Question 3 of 5
Which of the following medications should the nurse anticipate a prescription from the provider for the client?
Correct Answer: B
Rationale: The correct answer is B: Insulin. Insulin is essential for clients with diabetes who have high blood sugar levels and need to regulate their glucose levels. Repaglinide, Glipizide, and Acarbose are oral antidiabetic medications that work differently from insulin and may not be suitable for clients requiring immediate control over blood sugar levels. Insulin is the most direct and effective way to lower blood sugar levels quickly in emergencies.
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 4 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.
Extract:
A woman's obstetric history indicates that she is pregnant for the fourth time and all of her children from previous pregnancies are living. One was born at 39 weeks of gestation, twins were born at 34 weeks of gestation, and another child was born at 35 weeks of gestation.
Question 5 of 5
What is her gravidity and parity using the GTPAL System?
Correct Answer: A
Rationale: G4 (4 pregnancies), T1 (1 term birth at 39 weeks), P2 (2 preterm births: twins at 34 weeks, 1 at 35 weeks), A0 (no abortions), L3 (3 living children from previous pregnancies).