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 is most likely experiencing preeclampsia. Preeclampsia is a pregnancy complication characterized by high blood pressure and signs of damage to other organs, typically after 20 weeks of pregnancy. The key indicators are hypertension, proteinuria, and edema. Chronic hypertension (
B) is high blood pressure that existed before pregnancy or that occurs before 20 weeks of pregnancy. Neurologic status (
C) and liver function studies (
D) may be affected by preeclampsia, but they are not the primary condition.
Extract:
Three hours post cesarean section, the physician orders Toradol 30 mg IM every 6 hours for pain. Toradol is available in 60 mg/mL.
Question 2 of 5
How many mLs should be drawn up?
Correct Answer: A
Rationale: 30 mg ÷ 60 mg/mL = 0.5 mL. The nurse should draw up 0.5 mL of
Toradol.
Extract:
A nurse is caring for a patient who is about to undergo a biophysical profile. The patient asks the nurse what aspects are evaluated during this test.
Question 3 of 5
Which of the following should the nurse include? (Select all that apply)
Correct Answer: C, D, E
Rationale: Fetal motion, fetal breathing, and amniotic fluid volume are evaluated during a biophysical profile to assess fetal well-being. Fetal neck translucency and gender are not part of this test.
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 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 5 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.