ATI RN
ATI Maternal Newborn 2023 Questions
Extract:
A nurse is caring for a client who is at 34 weeks of gestation. The client reports headache, dizziness, and blurred vision for 1 week. The nurse notes 3+ edema in lower extremities and deep tendon reflexes (DTRs) 3+ with positive clonus. The fetal heart rate (FHR) is 140 with minimal variability.
Question 1 of 5
Which condition is the client most likely experiencing?
Correct Answer: A
Rationale: The client's symptoms of headache, dizziness, blurred vision, 3+ edema in lower extremities, deep tendon reflexes (DTRs) 3+ with positive clonus, and a fetal heart rate (FHR) of 140 with minimal variability are indicative of preeclampsia.
Extract:
A nurse midwife is examining a patient who is at 42 weeks of gestation and believes she is in labor.
Question 2 of 5
Which of the following findings would confirm to the nurse that the patient is in labor?
Correct Answer: B
Rationale: Cervical dilation is a key sign that a patient is in labor, as it indicates the cervix is opening to allow the baby to pass through the birth canal.
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 3 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 is providing care for a patient who is at 34 weeks of gestation. The nurse is reviewing the patient's electronic medical record to develop a plan of care.
Question 4 of 5
Which condition is the patient most likely experiencing?
Correct Answer: A
Rationale: Preeclampsia is likely given the gestational age and context, requiring seizure precautions and monitoring of neurological status and liver function due to risks of eclampsia and organ damage.
Extract:
A nurse is monitoring a patient who is receiving magnesium sulfate to manage pre-eclampsia.
Question 5 of 5
Which of the following observations should the nurse report to the healthcare provider?
Correct Answer: D
Rationale: A urinary output of 40 mL in 2 hours is less than the normal range (at least 30 mL/hour). This could indicate kidney dysfunction, a serious complication of pre-eclampsia, and should be reported.