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 preparing an in-service program about preventing medication errors when transcribing a prescription. The nurse is using a dosage example of two tenths of a milligram.
Question 2 of 5
Which of the following examples should the nurse use to show appropriate transcription of this dosage?
Correct Answer: A
Rationale: The correct transcription of two tenths of a milligram is 0.2 mg. This format avoids any potential confusion that could lead to a medication error. Trailing zeros (e.g., 0.20 mg) are discouraged to prevent misinterpretation as a higher dose.
Extract:
A nurse is caring for a patient who is in labor at 40 weeks of gestation and reports that she has saturated two perineal pads in the past 30 minutes. The nurse suspects placenta previa.
Question 3 of 5
What would be an appropriate nursing action in this situation?
Correct Answer: C
Rationale: Preparing for a cesarean birth is appropriate for suspected placenta previa, as significant bleeding indicates the need for surgical delivery to ensure maternal and fetal safety.
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: Hypoglycemia is the priority focus of care for a newborn with macrosomia born to a mother with diabetes mellitus. The infant's high insulin levels, developed in response to maternal hyperglycemia, can cause a rapid drop in blood sugar after birth.
Extract:
A nurse in a prenatal clinic is caring for a client. Using Leopold maneuvers, the nurse palpates a round, firm, movable part in the fundus of the uterus and a long, smooth surface on the client's right side.
Question 5 of 5
In which abdominal quadrant should the nurse expect to auscultate fetal heart tones?
Correct Answer: A
Rationale: The right upper quadrant is the correct area to auscultate fetal heart tones when the fetal head is in the fundus and the back is on the client's right side, indicating a cephalic presentation.