ATI RN
ATI Maternal Newborn 2023 Questions
Extract:
A nurse is caring for a client who is in the second stage of labor. The nurse observes retraction of the fetal head against the maternal perineum as the head is birthed.
Question 1 of 5
Which condition is the client most likely experiencing?
Correct Answer: A
Rationale: Retraction of the fetal head against the maternal perineum as the head is birthed is a classic sign of shoulder dystocia, where the baby's shoulder gets stuck behind the mother's pelvic bone during delivery.
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 is caring for a client who is 39 weeks pregnant and in active labor. The nurse detects the fetal heart tones above the client's umbilicus at the midline.
Question 3 of 5
Which of the following positions should the nurse suspect the fetus is in?
Correct Answer: D
Rationale: In a frank breech position, fetal heart tones are usually heard above the umbilicus, as the fetal head is positioned in the upper uterus.
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 in labor and delivery is caring for a client. Following the delivery of the placenta, the nurse examines the umbilical cord.
Question 5 of 5
Which of the following vessels should the nurse expect to observe in the umbilical cord?
Correct Answer: D
Rationale: The umbilical cord typically contains two arteries and one vein. The arteries carry deoxygenated blood from the fetus to the placenta, and the vein carries oxygenated blood to the fetus.